# HOMETOWN DOC, PA

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

## Provider details

- **NPI number:** 1568941433
- **Authorized official:** DR. THOMAS A. LANGSTON MD (PRESIDENT/INCORPORATOR)
- **Authorized official phone:** (870) 399-0077

## Contact information

- **Practice address:** 1014 N SPRING ST, HARRISON, AR 72601-2918
- **Practice address phone:** (870) 399-0077
- **Practice address fax:** (833) 607-6390
- **Mailing address:** 1014 N SPRING ST, HARRISON, AR 72601-2918
- **Mailing address phone:** (870) 399-0077
- **Mailing address fax:** (833) 607-6390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C7305 | AR | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 07/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113835001 | — | AR |