Individual
ROBERT G HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2816 FOX MEADOW LN, JONESBORO, AR 72404
(870) 336-1676
(870) 336-1679
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-1417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131532001
—
AR
01
—
166950000-00
QUALCHOICE NUMBER
AR
01
—
5K477
BLUE CROSS NUMBER
AR
Enumeration date
08/15/2005
Last updated
06/15/2018
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