Organization
CATHOLIC PHYSICIAN'S GROUP L.L.C.
Active
Other names
Chad Nicholas Heinen
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD NICHOLAS HEINEN MD (OWNER)
(501) 984-5928
Entity
Organization
Contact information
Practice address
4419 N HIGHWAY 7, SUITE 201, HOT SPRINGS, AR 71909-9301
(501) 984-5928
Mailing address
PO BOX 8397, HOT SPRINGS, AR 71910-8397
(501) 984-5928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MC-2350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F018
AR BLUE CROSS & BLUE SHIE
AR
01
—
MC-2350
AR LICENSE
AR
Enumeration date
05/21/2007
Last updated
08/22/2020
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