Organization
HUMBERTO J. SOSA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO J SOSA MD (PRESIDENT)
(479) 394-1600
Entity
Organization
Contact information
Practice address
300 CRESTWOOD CIR, MENA, AR 71953-5515
(479) 394-1600
(479) 394-1606
Mailing address
300 CRESTWOOD CIR, MENA, AR 71953-5515
(479) 394-1600
(479) 394-1606
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4241
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120117001
—
AR
Enumeration date
01/15/2009
Last updated
01/15/2009
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