Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
AHEC-SW All For Kids Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MCDONALD (BUSINESS MANAGER)
(870) 779-6067
Entity
Organization
Contact information
Practice address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6004
(870) 779-6100
Mailing address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6000
(870) 779-6119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092113205
NO DISCRIPTION
TX
05
—
152802769
—
AR
Enumeration date
07/13/2005
Last updated
07/21/2022
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