# CR DOC,PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285777029
- **Authorized official:** DR. ROGER EARL CAGLE M.D. (OWNER)
- **Authorized official phone:** (870) 239-3600

## Contact information

- **Practice address:** 2700 W KINGSHIGHWAY, SUITE 4, PARAGOULD, AR 72450-2601
- **Practice address phone:** (870) 239-3600
- **Practice address fax:** (870) 240-0643
- **Mailing address:** 2700 W KINGSHIGHWAY, SUITE 4, PARAGOULD, AR 72450-2601
- **Mailing address phone:** (870) 239-3600
- **Mailing address fax:** (870) 240-0643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5380 | AR | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 05/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5C936 | ABCBS PROVIDER NUMBER | AR |