Organization
PHYSICIAN MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA LIZELLE HERNANDO TANGUNAN M.D. (PRESIDENT)
(501) 623-6161
Entity
Organization
Contact information
Practice address
295 SECTION LINE RD STE B, HOT SPRINGS, AR 71913-6433
(501) 623-6161
(501) 520-4881
Mailing address
PO BOX 22861, HOT SPRINGS, AR 71903-2861
(501) 623-6161
(501) 520-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-8539
AR
Other
Enumeration date
01/18/2007
Last updated
11/08/2011
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