# EAGLE HEIGHTS CLINIC, P.A.

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

## Provider details

- **NPI number:** 1972574846
- **Authorized official:** MRS. MARQUETTE T WALKER (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (870) 741-8559

## Contact information

- **Practice address:** 306 N CHESTNUT ST, HARRISON, AR 72601-4453
- **Practice address phone:** (870) 741-8559
- **Practice address fax:** (870) 741-8423
- **Mailing address:** PO BOX 1497, HARRISON, AR 72602-1497
- **Mailing address phone:** (870) 741-8559
- **Mailing address fax:** (870) 741-8423

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 57265 | BCBS | AR |