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Organization
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Active
Organization
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Active
Other names
Hamilton West Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LARIE SOUTHERLAND (OFFICE MANAGER)
(501) 625-7500
Entity
Organization
Contact information
Practice address
1629 AIRPORT RD, SUITE B, HOT SPRINGS, AR 71913-7951
(501) 767-0075
(501) 760-2739
Mailing address
1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
(501) 625-7500
(501) 625-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139989002
—
AR
01
—
CG9647
RR MEDICARE
AR
Enumeration date
11/02/2006
Last updated
06/15/2015
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