| Little Rock Family Practice - Central | |
|
701 N University Ave Suite 100 Little Rock AR 72205-2936 | |
| (501) 664-4810 | |
| Not Available |
| Full Name | Little Rock Family Practice - Central |
|---|---|
| Speciality | Family Medicine |
| Location | 701 N University Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Jeff H. Erwin (ADMINISTRATOR) |
| Authorized Official Contact | 5012241690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rock Family Practice - Central Po Box 15056 Little Rock AR 72231-5056 Ph: (501) 224-1690 | Little Rock Family Practice - Central 701 N University Ave Suite 100 Little Rock AR 72205-2936 Ph: (501) 664-4810 |
| NPI Number | 1336396407 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336396407 | NPI | - | NPPES |
| 127448002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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