NPI Provider: 1215935234
Contact Name: Avery Ann
Position: Clinic Manager
Phone: (870) 779-6004
University Of Arkansas Information:
University Of Arkansas organization have npi 1215935234, taxonomy code is 207Q00000X with license number is in . This Business address located in 300 East 6th St, Texarkana, AR 71854 Arkansas.
Practice Location
Address: 300 East 6th St, Texarkana, AR 71854
Phone: (870) 779-6004
Business Location
Address: 300 East 6th St, Texarkana, AR 71854
Phone: (870) 779-6004
Fax: (870) 779-6100
Taxonomy
Taxonomy Code: 207Q00000X
License Number:
License Number of State: AR
Primary Taxonomy Switch: Y
Enumeration Date: 7/13/2005
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