| NPI | 1992806376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY P WARD Owner 870-625-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR AO2947) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-12-08 |