Healthcare Provider Details

I. General information

NPI: 1952135949
Provider Name (Legal Business Name): WH SERVICES ARKANSAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NEW CASTLE RD
FORREST CITY AR
72335-2218
US

IV. Provider business mailing address

PO BOX 116127
CARROLLTON TX
75011-6127
US

V. Phone/Fax

Practice location:
  • Phone: 469-364-3333
  • Fax:
Mailing address:
  • Phone: 469-364-3333
  • Fax:

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: DAVID M DAVIS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 469-364-3333