Individual
DR. LOUIS WOODROW ELKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
628 HOSPITAL DR STE 1-A, MOUNTAIN HOME, AR 72653-2946
(870) 508-3200
(870) 508-1359
Mailing address
PO BOX 958539, SAINT LOUIS, MO 63195-8539
(870) 508-3200
(870) 508-1359
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J6104
TX
208600000X
Surgery Physician
01084572A
IN
208600000X
Surgery Physician
036155579
IL
2086S0129X
Vascular Surgery Physician
J6104
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01084572A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036155579
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C-7077
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J6104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114993060
—
TX
05
—
131212001
—
AR
05
—
157760002
—
AR
Enumeration date
02/28/2006
Last updated
06/21/2023
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