MEDICARE: RO'S FAMILY MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1558294298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RO'S FAMILY MEDICINE, LLC

Provider Business Mailing Address
First Line	:	18 CHESAPEAKE DR
Second Line	:
City	:	AUSTIN
State	:	AR
Zip	:	72007-4004
Country	:	US
Telephone Number	:	501-813-0879
Fax Number	:

Provider Business Practice Location Address
First Line	:	1898 N HUNTERS RDG
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72701-2774
Country	:	US
Telephone Number	:	501-813-0879
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERTA HENRY
Credential	:	MSN, APRN, FNP-C
Telephone Number	:	501-813-0879

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “RO'S FAMILY MEDICINE, LLC ” Practice Location

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