| NPI | 1205248259 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THUYLINH HO PHAM Physician 479-441-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-1751) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |