Healthcare Provider Details

I. General information

NPI: 1801140728
Provider Name (Legal Business Name): WILLIAM S. ALEXANDER, M.D.,P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 HARRISON ST
BATESVILLE AR
72501-8820
US

IV. Provider business mailing address

3443 HARRISON ST
BATESVILLE AR
72501-8820
US

V. Phone/Fax

Practice location:
  • Phone: 870-698-1635
  • Fax: 870-793-3196
Mailing address:
  • Phone: 870-698-1635
  • Fax: 870-793-3196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC6366
License Number StateAR

VIII. Authorized Official

Name: WILLIAM S ALEXANDER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 870-698-1635