# POCAHONTAS MEDICAL CLINIC PA

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

## Provider details

- **NPI number:** 1508855305
- **Authorized official:** DR. BRENT E HOLT MD (PHYSICIAN OWNER)
- **Authorized official phone:** (870) 892-4467

## Contact information

- **Practice address:** 2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
- **Practice address phone:** (870) 892-4467
- **Practice address fax:** (870) 892-4407
- **Mailing address:** 2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
- **Mailing address phone:** (870) 892-4467
- **Mailing address fax:** (870) 892-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 06/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139208002 | — | AR |
| 05 | — | 160097729 | — | AR |