IndividualActive
Toddy Jack, CEO
NPI 1831493063 · Contractor · Arlington, TX
Provider details
- NPI number
- 1831493063
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- CEO
- Sex
- Male
- Sole proprietor
- No
- License
- 4765290876 (TX)
Specialties & taxonomies
Other Service Providers
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 Road to Sixflags Street
144
Arlington, TX 76012
Phone: (817) 461-0034
Fax: (817) 461-0035
Street-level locationGet directions
Mailing address
801 Road to Sixflags Street
Arlington, TX 76012
Registry dates
- Enumerated
- 2011-01-03
- Last updated
- 2011-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.