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Organization
MIDSOUTH WOUND CARE OF ARKANSAS PLLC
Active
Organization
MIDSOUTH WOUND CARE OF ARKANSAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON DEAN BOWMAN MD (PRESIDENT)
(501) 621-2770
Entity
Organization
Contact information
Practice address
6010 TRINITY HTS, TEXARKANA, AR 71854-8318
(501) 621-2770
Mailing address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(501) 621-2770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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