Healthcare Provider Details

I. General information

NPI: 1861924904
Provider Name (Legal Business Name): ALICIA PRINCE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MCAULEY CT
HOT SPRINGS AR
71913-6314
US

IV. Provider business mailing address

PO BOX 21850
HOT SPRINGS AR
71903-1850
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-2546
  • Fax:
Mailing address:
  • Phone: 501-321-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-13288
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: