| NPI | 1205157427 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART OPERATED BY BAXTER REGIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-09-29 |