# PROSPECTIVE HEALTH LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Practice Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114058682
- **Authorized official:** COURTNEY E SALMON (ADMINISTRATOR)
- **Authorized official phone:** (501) 303-7779

## Contact information

- **Practice address:** 1304 MILITARY RD, BENTON, AR 72015
- **Practice address phone:** (501) 778-0934
- **Practice address fax:** (501) 778-8377
- **Mailing address:** 1304 MILITARY RD, BENTON, AR 72015
- **Mailing address phone:** (501) 778-0934
- **Mailing address fax:** (501) 778-8377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110153002 | — | AR |