Organization
HENDERSON STATE UNIVERSITY
Active
Parent organization
HENDERSON STATE UNIVERSITY
Other names
Student Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENDERSON STATE UNIVERSITY
Authorized official
RENEE WALLS APRN (INTERIM DIRECTOR)
(870) 230-5102
Entity
Organization
Contact information
Practice address
1100 HENDERSON ST, ARKADELPHIA, AR 71999-0001
(870) 230-5102
Mailing address
1100 HENDERSON ST, ARKADELPHIA, AR 71999-0001
(870) 230-5102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/15/2022
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