Organization
TEXARKANA BEHAVIORAL ASSOCIATES LC
Active
Other names
FORT SMITH PHYSICAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
10301 MAYO DR, BARLING, AR 72923-1660
(479) 494-5760
(479) 484-8142
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-4926
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163665002
—
AR
Enumeration date
05/15/2007
Last updated
08/27/2023
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