Organization
ARKANSAS INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DECOTA HALSTED MD (PHYSICIAN/OWNER)
(501) 499-3058
Entity
Organization
Contact information
Practice address
855 S GERMAN LN, CONWAY, AR 72034-6334
(501) 499-3058
Mailing address
3006 DAVID O YOUNG RD, BENTON, AR 72019-7506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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