| NPI | 1023157682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DEWANE HENDRIX Owner Physician 870-236-7272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-0965) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-03-15 |