| Uams Thomas & Lyon Longevity | |
|
629 Jack Stephens Dr Little Rock AR 72205-5525 | |
| (501) 686-8000 | |
| (501) 526-5148 |
| Full Name | Uams Thomas & Lyon Longevity |
|---|---|
| Speciality | Family Medicine |
| Location | 629 Jack Stephens Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | Amanda D George (VICE CHANCELLOR-CHIEF FINANCIAL OFF) |
| Authorized Official Contact | 5016865670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uams Thomas & Lyon Longevity Po Box 251420 Little Rock AR 72225-1420 Ph: (501) 686-8000 | Uams Thomas & Lyon Longevity 629 Jack Stephens Dr Little Rock AR 72205-5525 Ph: (501) 686-8000 |
| NPI Number | 1306512538 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306512538 | NPI | - | NPPES |
| 279337081 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
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