Organization
PRIMARY CARE 360
Active
Parent organization
PRIMARY CARE 360
Other names
Urgent Care 360 Hensley
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE 360
Authorized official
KHALID RAYAZ MD (OWNER)
(870) 393-5050
Entity
Organization
Contact information
Practice address
21117 ARCH ST, HENSLEY, AR 72065
(870) 393-5050
Mailing address
21117 ARCH ST, HENSLEY, AR 72065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/22/2021
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