| NPI | 1891084471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE HAYS Owner 479-783-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR 929) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |