Organization
DOCTORS HEARING CENTER LLC II
Active
Other names
Doctors Testing Center LLC II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD F DAVIS (TEC PARTNER)
(501) 985-9944
Entity
Organization
Contact information
Practice address
2227 WEST MAIN ST, JACKSONVILLE, AR 72076
(501) 985-9944
(501) 985-6590
Mailing address
2227 WEST MAIN ST, JACKSONVILLE, AR 72076
(501) 985-9944
(501) 985-6590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C724
MEDI CARE IDTF
AR
Enumeration date
11/08/2006
Last updated
08/10/2007
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