Healthcare Provider Details

I. General information

NPI: 1801896410
Provider Name (Legal Business Name): HOT SPRINGS MRI CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY LN SUITE 104
HOT SPRINGS AR
71913-6442
US

IV. Provider business mailing address

1 MERCY LN SUITE 104
HOT SPRINGS AR
71913-6442
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-9100
  • Fax: 501-623-1639
Mailing address:
  • Phone: 501-623-9100
  • Fax: 501-623-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD PAUL TUCKER
Title or Position: PARTNER/PRESIDENT
Credential: M.D.
Phone: 501-623-9100