Organization · Type 2 NPI

Henderson State University

Family Medicine Physician · Arkadelphia, AR

NPI number 1043968894 Active

Practice location

1100 Henderson St
Arkadelphia, AR 71999-0001

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14 other providers at this address

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NPI record

NPI: 1043968894
Entity type: Organization (Type 2)
Issued: Mar 11, 2022
Last updated: Mar 15, 2022
Status: Active
Subpart: Yes of Henderson State University

Other names

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Student Health and Wellness · doing business as
Student Health and Wellness · doing business as

Authorized official

Renee Walls, APRN
Interim Director
(870) 230-5102

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043968894

Henderson State University's National Provider Identifier is 1043968894, issued on Mar 11, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Arkadelphia, AR. The record was last updated on Mar 15, 2022.