| Organization Name: | EXCEL HEALTH OF HASKELL, PLLC |
| NPI Number: | 1295104578 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHIRLEY ANNE WALKER (BILLING MANAGER) |
| Mailing Address: | 6029 Us Hwy 67 Haskell |
| State: | AR US |
| Postal Code: | 72015 |
| Phone Number: | 5018473292 |
| Fax Number: | 5012130573 |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |