| NPI | 1144561390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE JOSEPH PARKER Sole Member 870-826-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E1887) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |