# HERITAGE PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hot Springs Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669464079
- **Authorized official:** RON L BRASHEAR (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (501) 321-2229

## Contact information

- **Practice address:** 1 MERCY LN, STE 201, HOT SPRINGS, AR 71913-6442
- **Practice address phone:** (501) 321-2229
- **Practice address fax:** (501) 321-4056
- **Mailing address:** PO BOX 21850, HOT SPRINGS, AR 71903-1850
- **Mailing address phone:** (501) 627-1800
- **Mailing address fax:** (501) 627-1899

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 09/27/2007
