| NPI | 1881091015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN W METHENY Owner 479-770-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR A003552) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |