Organization
OZARK SENIOR HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL E NAEEM (MANAGER)
(479) 927-1044
Entity
Organization
Contact information
Practice address
210 S THOMPSON ST STE 4A, SPRINGDALE, AR 72764-4261
(794) 459-9004
(479) 213-8142
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E03402
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148445001
—
AR
01
—
P00853324
MEDICARE RAILROAD / PALMETTO
—
Enumeration date
05/26/2010
Last updated
10/02/2024
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