Healthcare Provider Details

I. General information

NPI: 1457833014
Provider Name (Legal Business Name): CONCORD COMPANY OF ARKANSAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W GROVE ST
EL DORADO AR
71730-4416
US

IV. Provider business mailing address

PO BOX 3689 DEPT 322
SUGAR LAND TX
77487-3310
US

V. Phone/Fax

Practice location:
  • Phone: 888-264-0330
  • Fax: 817-539-3073
Mailing address:
  • Phone: 800-962-3303
  • Fax: 817-539-3073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARRY K SHEETS
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 888-264-0330