# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UAMS Southwest Family Practice Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215935234
- **Authorized official:** AMANDA D GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
- **Authorized official phone:** (501) 686-5670

## Contact information

- **Practice address:** 3417 U OF A WAY, TEXARKANA, AR 71854-1419
- **Practice address phone:** (870) 779-6000
- **Practice address fax:** (870) 779-6093
- **Mailing address:** 3417 U OF A WAY, TEXARKANA, AR 71854-1419
- **Mailing address phone:** (870) 779-6000
- **Mailing address fax:** (870) 779-6093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AR | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 12/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 092113201 | — | TX |
| 05 | — | 303802002 | — | AR |