# LB BRASHEARS, MD, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Plus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801904602
- **Authorized official:** DR. LARRY BRASHEARS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (501) 332-5245

## Contact information

- **Practice address:** 1234 S MAIN ST, MALVERN, AR 72104-5226
- **Practice address phone:** (501) 332-5245
- **Practice address fax:** (501) 337-4137
- **Mailing address:** 1234 S MAIN ST, MALVERN, AR 72104-5226
- **Mailing address phone:** (501) 332-5245
- **Mailing address fax:** (501) 337-4137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020