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3911 North Mall Avenue Fayetteville AR 72703 | |
(866) 706-6334 | |
(713) 358-4801 |
Full Name | |
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Speciality | Clinic/center |
Location | 3911 North Mall Avenue, Fayetteville, Arkansas |
Authorized Official Name and Position | Eric Fournet (CFO) |
Authorized Official Contact | 7135809468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9 Greenway Plaza Suite 2950 Houston TX 77046-0905 Ph: (866) 935-0333 | 3911 North Mall Avenue Fayetteville AR 72703 Ph: (866) 706-6334 |
NPI Number | 1114067519 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 01/20/2009 |
Identifier | Type | State | Issuer |
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1114067519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 |