# MENA CENTER FOR WOMENS HEALTH, PA

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

## Provider details

- **NPI number:** 1427155316
- **Authorized official:** DR. CARLOS BARRETT ROCHA MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (479) 394-2534

## Contact information

- **Practice address:** 400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
- **Practice address phone:** (479) 394-2534
- **Practice address fax:** (479) 394-7012
- **Mailing address:** 400 CRESTWOOD CIR STE P, MENA, AR 71953-5512
- **Mailing address phone:** (479) 394-2534
- **Mailing address fax:** (479) 394-7012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | E2878 | AR | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 143840001 | — | AR |
| 01 | — | 5L863 | BLUECROSS NUMBER | AR |