Healthcare Provider Details

I. General information

NPI: 1427974179
Provider Name (Legal Business Name): ROBERT CARL BOYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 W COMMERCE DR
BRYANT AR
72022-7512
US

IV. Provider business mailing address

507 W COMMERCE DR
BRYANT AR
72022-7512
US

V. Phone/Fax

Practice location:
  • Phone: 501-400-6949
  • Fax:
Mailing address:
  • Phone: 501-400-6949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06261949
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: