Henderson State University
NPI #1043968894 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1043968894
- Entity Type
- Organization
- Organization Name
- Henderson State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HENDERSON STATE UNIVERSITY
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 11, 2022
- Last Updated
- Mar 15, 2022
Practice Location
- Address
- 1100 HENDERSON ST
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71999-0001
- Phone
- (870) 230-5102
Authorized Official
- Name
- RENEE WALLS, APRN
- Title
- INTERIM DIRECTOR
- Phone
- (870) 230-5102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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