| NPI | 1609457779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA VARGAS Physician 479-322-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-08-13 |