| Health For Life Clinic Pllc | |
|
1100 N University Ave Ste 260 Little Rock AR 72207-6343 | |
| (501) 603-0003 | |
| (501) 603-0030 |
| Full Name | Health For Life Clinic Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1100 N University Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Tia Proctor (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5016030003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health For Life Clinic Pllc 1100 N University Ave Ste 260 Little Rock AR 72207-6343 Ph: (501) 603-0003 | Health For Life Clinic Pllc 1100 N University Ave Ste 260 Little Rock AR 72207-6343 Ph: (501) 603-0003 |
| NPI Number | 1760736565 |
|---|---|
| Provider Enumeration Date | 10/31/2012 |
| Last Update Date | 10/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760736565 | NPI | - | NPPES |
| 104422001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C4604 (Arkansas) | Primary |
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