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113 Parkwood St Ste A Lowell AR 72745-8811 | |
(479) 361-8601 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 113 Parkwood St Ste A, Lowell, Arkansas |
Authorized Official Name and Position | William Seibels (CFO) |
Authorized Official Contact | 6156103646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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214 Centerview Dr Ste 250 Brentwood TN 37027-3248 Ph: () - | 113 Parkwood St Ste A Lowell AR 72745-8811 Ph: (479) 361-8601 |
NPI Number | 1356072623 |
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Provider Enumeration Date | 06/18/2022 |
Last Update Date | 06/23/2023 |
Medicare PECOS PAC ID | 0648650242 |
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Medicare Enrollment ID | O20220629000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356072623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lindsay Loraine Cortez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326244260 PECOS PAC ID: 4385790062 Enrollment ID: I20090922000254 |
Provider Name | Brittany D Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417566753 PECOS PAC ID: 0547670077 Enrollment ID: I20201111002147 |
Provider Name | Laura Jeannine Neal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679187207 PECOS PAC ID: 7810389988 Enrollment ID: I20220121002083 |
Provider Name | Hope Cureton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629763362 PECOS PAC ID: 3577925940 Enrollment ID: I20230816003541 |
Provider Name | Breanna Muniz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255816419 PECOS PAC ID: 9335482033 Enrollment ID: I20240403004407 |
Petty Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Harrison Ave, Suite C, Lowell, AR 72745 Phone: 479-254-1005 Fax: 479-668-4003 | |