NPI | 1710218995 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY HURT CFO 479-571-6780 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RG0100X Internal Medicine, Gastroenterology | |
207RN0300X Internal Medicine, Nephrology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RR0500X Internal Medicine, Rheumatology | |
207RS0012X Internal Medicine, Sleep Medicine | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
208000000X Pediatrics | |
2084N0400X Psychiatry & Neurology, Neurology | |
2085R0202X Radiology, Diagnostic Radiology | |
208D00000X General Practice | |
363LF0000X Nurse Practitioner, Family | |
207K00000X Allergy & Immunology | |
Enumeration Date | 2010-01-27 |
Last Update Date | 2024-01-17 |