Organization
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Active
Other names
Lake Hamilton Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LARIE SOUTHERLAND (BUSINESS OFFICE MANAGER)
(501) 625-7500
Entity
Organization
Contact information
Practice address
1661 AIRPORT RD STE F, HOT SPRINGS, AR 71913-8184
(501) 651-4300
(501) 651-4318
Mailing address
1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
(501) 625-7500
(501) 625-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG9647
RAIL ROAD MEDICARE
AR
Enumeration date
03/12/2013
Last updated
04/03/2018
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