Individual
TERESA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1805 HASBROOK CT, NORTH LITTLE ROCK, AR 72116-5667
(501) 349-8441
Mailing address
1805 HASBROOK COURT, NORTH LITTLE ROCK, AR 72116
(501) 349-8441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-8450
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129170001
—
AR
01
—
5J256
ARBCBS
AR
Enumeration date
07/06/2006
Last updated
06/18/2013
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