Organization
WESTERN ARKANSAS HEART LUNG & VASCULAR SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN G BEARD CPC (BILLING MANAGER)
(479) 478-7059
Entity
Organization
Contact information
Practice address
2713 S 74TH ST, 104, FORT SMITH, AR 72903-5170
(479) 478-7059
(479) 478-7061
Mailing address
2713 S 74TH ST, SUITE 104, FORT SMITH, AR 72903-5170
(479) 478-7059
(479) 478-7061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N8359
AR
174400000X
Specialist
R3835
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114669001
—
AR
05
—
123788001
—
AR
05
—
142620002
—
AR
01
—
CH8694
RAILROAD MEDICARE GROUP
—
Enumeration date
04/19/2006
Last updated
11/19/2007
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