Individual provider · Type 1 NPI

Richard Eugene Timmons-Vendryes, MD

Student in an Organized Health Care Education/Training Program · Fort Smith, AR

NPI number 1447051552 Active · reactivated Sep 19, 2025

Practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Call (479) 573-3838 Map

Mailing address

507 Republic Ct
Deerfield Beach, FL 33442-9144

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447051552

Richard Eugene Timmons-Vendryes, MD's National Provider Identifier is 1447051552, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Smith, AR. The record was last updated on Sep 19, 2025.