# CROSSROADS MEDICAL CLINIC OF HARRISON

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

## Provider details

- **NPI number:** 1689625659
- **Authorized official:** ROBERT M CAUSEY MD (DIRECTOR)
- **Authorized official phone:** (870) 741-3600

## Contact information

- **Practice address:** 1420 HWY 62 65 N, HARRISON, AR 72601-1959
- **Practice address phone:** (870) 741-3600
- **Practice address fax:** (870) 741-6800
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (479) 968-4273
- **Mailing address fax:** (479) 968-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 160850002 | — | AR |