Organization Name: | HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC |
NPI Number: | 1831578475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA LARIE SOUTHERLAND (BUSINESS OFFICE MANAGER) |
Mailing Address: | 1661 Airport Rd Suite D Hot Springs |
State: | AR US |
Postal Code: | 719137951 |
Phone Number: | 5016257500 |
Fax Number: | 5016257777 |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |