Ouachita Baptist University

NPI #1821754334 in Arkadelphia, Arkansas

Provider Information

NPI Number: 1821754334
Entity Type: Organization
Organization Name: Ouachita Baptist University
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2021
Last Updated: Dec 17, 2021

Practice Location

Address: 410 OUACHITA ST
City: Arkadelphia
State: Arkansas
ZIP Code: 71998-0001
Phone: (972) 367-4845

Authorized Official

Name: MR. MOUZON BASS III
Title: ADMINISTRATOR/AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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