1621 E 42 LLC
NPI #1437964244 in Texarkana, Arkansas
Provider Information
- NPI Number
- 1437964244
- Entity Type
- Organization
- Organization Name
- 1621 E 42 LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 10, 2025
- Last Updated
- Feb 10, 2025
Practice Location
Authorized Official
- Name
- MR. EDWARD V HOLMAN
- Title
- CEO/PRESIDENT
- Phone
- (501) 224-0846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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