| Nxgen Stars- Ar | |
|
900 S Shackleford Rd Ste 300 Little Rock AR 72211-3848 | |
| (501) 348-2210 | |
| (501) 991-0090 |
| Full Name | Nxgen Stars- Ar |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 900 S Shackleford Rd Ste 300, Little Rock, Arkansas |
| Authorized Official Name and Position | Kendra P Boyle (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5013482210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nxgen Stars- Ar 12 Tracy Austin Ct Little Rock AR 72210-5770 Ph: (501) 348-2210 | Nxgen Stars- Ar 900 S Shackleford Rd Ste 300 Little Rock AR 72211-3848 Ph: (501) 348-2210 |
| NPI Number | 1205618535 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205618535 | NPI | - | NPPES |
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