NPI | 1548207103 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ANDREW FRANKS CEO 870-234-5995 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E2752) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01690) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2025-09-11 |