| NPI | 1487850749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA STANLEY Owner 479-495-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR AR1910) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |