| Primary Care Specialists | |
|
502 E 24th St Texarkana AR 71854-3646 | |
| (870) 777-8733 | |
| (870) 495-2181 |
| Full Name | Primary Care Specialists |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 502 E 24th St, Texarkana, Arkansas |
| Authorized Official Name and Position | Lonnie Joseph Parker (OWNER) |
| Authorized Official Contact | 8708267500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Specialists 502 E 24th St Texarkana AR 71854-3646 Ph: (870) 777-8733 | Primary Care Specialists 502 E 24th St Texarkana AR 71854-3646 Ph: (870) 777-8733 |
| NPI Number | 1235456575 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235456575 | NPI | - | NPPES |
| 135783001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E1887 (Arkansas) | Primary |
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