| Wound Integrity Arkansas Pa | |
|
13501 Chenal Pkwy Ste 101 Little Rock AR 72211-5262 | |
| (501) 239-9146 | |
| (501) 251-1377 |
| Full Name | Wound Integrity Arkansas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13501 Chenal Pkwy Ste 101, Little Rock, Arkansas |
| Authorized Official Name and Position | Han Pham Hulen (CEO) |
| Authorized Official Contact | 2149457313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Integrity Arkansas Pa 1 Chisholm Trail Rd Ste 5200 Round Rock TX 78681-5090 Ph: (512) 202-3830 | Wound Integrity Arkansas Pa 13501 Chenal Pkwy Ste 101 Little Rock AR 72211-5262 Ph: (501) 239-9146 |
| NPI Number | 1831709997 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 5496161945 |
|---|---|
| Medicare Enrollment ID | O20210308001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831709997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215256680 PECOS PAC ID: 9638293202 Enrollment ID: I20100902001156 |
| Provider Name | Han Pham Hulen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770593436 PECOS PAC ID: 7719923101 Enrollment ID: I20210308001189 |
| Provider Name | Devin Sessions |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104958 PECOS PAC ID: 8426372095 Enrollment ID: I20210326000783 |
| Provider Name | Jaimie Leigh Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851960025 PECOS PAC ID: 4486035201 Enrollment ID: I20220725002520 |
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