# FALWELL FAMILY MEDICINE, PA

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

## Provider details

- **NPI number:** 1740593771
- **Authorized official:** DR. KEVIN WADE FALWELL JR. M.D. (OWNER)
- **Authorized official phone:** (870) 307-0264

## Contact information

- **Practice address:** 2201 HARRISON ST, BATESVILLE, AR 72501-7418
- **Practice address phone:** (870) 307-0264
- **Practice address fax:** (870) 307-0382
- **Mailing address:** 2201 HARRISON ST, BATESVILLE, AR 72501-7418
- **Mailing address phone:** (870) 307-0264
- **Mailing address fax:** (870) 307-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4642 | AR | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 10/19/2011