Healthcare Provider Details

I. General information

NPI: 1073449120
Provider Name (Legal Business Name): DENNIS AARON HUGHES R.T.(R)(MR)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 ABBY LN
COTTER AR
72626-9705
US

IV. Provider business mailing address

103 ABBY LN
COTTER AR
72626-9705
US

V. Phone/Fax

Practice location:
  • Phone: 870-736-3137
  • Fax:
Mailing address:
  • Phone: 870-736-3137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number8688
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: