Primary Care 360
NPI #1134734049 in White Hall, Arkansas
Provider Information
- NPI Number
- 1134734049
- Entity Type
- Organization
- Organization Name
- Primary Care 360
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIMARY CARE 360
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 9, 2020
- Last Updated
- Sep 9, 2020
Practice Location
- Address
- 103 FRANKIE LN
- City
- White Hall
- State
- Arkansas
- ZIP Code
- 71602-2685
- Phone
- (870) 393-5050
Authorized Official
- Name
- KHALID RAYAZ, MD
- Title
- OWNER
- Phone
- (870) 393-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Non-Pharmacy Dispensing Site |
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