# GRACE & HOPE MEDICAL CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205595378
- **Authorized official:** GINA VARGAS MD (OWNER)
- **Authorized official phone:** (479) 769-2519

## Contact information

- **Practice address:** 5701 EUPER LN STE B, FORT SMITH, AR 72903-3255
- **Practice address phone:** (479) 769-2519
- **Practice address fax:** (501) 510-5917
- **Mailing address:** 2916 KELLS ABBEY, FORT SMITH, AR 72908-9317
- **Mailing address phone:** (479) 769-2519
- **Mailing address fax:** (501) 510-5917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 12/15/2021