# HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hamilton West Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821176934
- **Authorized official:** BRENDA LARIE SOUTHERLAND (OFFICE MANAGER)
- **Authorized official phone:** (501) 625-7500

## Contact information

- **Practice address:** 1629 AIRPORT RD, SUITE B, HOT SPRINGS, AR 71913-7951
- **Practice address phone:** (501) 767-0075
- **Practice address fax:** (501) 760-2739
- **Mailing address:** 1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
- **Mailing address phone:** (501) 625-7500
- **Mailing address fax:** (501) 625-7777

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139989002 | — | AR |
| 01 | — | CG9647 | RR MEDICARE | AR |