Mccombs Medical | |
606 W Commerce Dr Ste 1 Bryant AR 72022-7521 | |
(501) 413-8715 | |
Not Available |
Full Name | Mccombs Medical |
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Speciality | Clinic/Center |
Location | 606 W Commerce Dr Ste 1, Bryant, Arkansas |
Authorized Official Name and Position | David Lamont Mccombs (APRN/OWNER) |
Authorized Official Contact | 5012913699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mccombs Medical 606 W Commerce Dr Ste 1 Bryant AR 72022-7521 Ph: (501) 413-8715 | Mccombs Medical 606 W Commerce Dr Ste 1 Bryant AR 72022-7521 Ph: (501) 413-8715 |
NPI Number | 1902534662 |
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Provider Enumeration Date | 08/10/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 9931578697 |
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Medicare Enrollment ID | O20221220000917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902534662 | NPI | - | NPPES |
232728758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | David Lamont Mccombs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205315900 PECOS PAC ID: 5395883540 Enrollment ID: I20181015001030 |
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