Organization
HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Active
Other names
Hamilton West Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LARIE SOUTHERLAND (OFFICE MANAGER)
(501) 625-7500
Entity
Organization
Contact information
Practice address
1629 AIRPORT RD, SUITE B, HOT SPRINGS, AR 71913-7951
(501) 767-0075
(501) 760-2739
Mailing address
1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
(501) 625-7500
(501) 625-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139989002
—
AR
01
—
CG9647
RR MEDICARE
AR
Enumeration date
11/02/2006
Last updated
06/15/2015
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