Organization
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Active
Other names
West Gate Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LARIE SOUTHERLAND (BUSINESS OFFICE MANAGER)
(501) 625-7500
Entity
Organization
Contact information
Practice address
2266 ALBERT PIKE RD, HOT SPRINGS, AR 71913-4003
(501) 767-1144
(501) 767-4455
Mailing address
1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
(501) 625-7500
(501) 625-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220808002
—
AR
Enumeration date
07/21/2016
Last updated
04/04/2018
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