| NPI | 1447797782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MULLENAX Owner 501-821-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004022) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-03-08 |