Healthcare Provider Details

I. General information

NPI: 1023294030
Provider Name (Legal Business Name): JAMES LEONARD WORKMAN JR. PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2008
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 UNITY RD
CROSSETT AR
71635-9443
US

IV. Provider business mailing address

PO BOX 9178
RUSSELLVILLE AR
72811-9178
US

V. Phone/Fax

Practice location:
  • Phone: 855-498-6768
  • Fax: 479-968-1673
Mailing address:
  • Phone: 855-498-6768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES LEONARD WORKMAN JR.
Title or Position: STAFF
Credential: MD
Phone: 501-912-0598