Individual
OMAR YACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 UNITED DR STE 220, CONWAY, AR 72032-7835
(501) 358-6361
(501) 358-6714
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 358-6361
(501) 358-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-19041
AR
207RI0011X
Interventional Cardiology Physician
Primary
E-19041
AR
Other
Enumeration date
06/23/2018
Last updated
06/06/2025
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