Healthcare Provider Details

I. General information

NPI: 1659727451
Provider Name (Legal Business Name): HOT SPRINGS TAXI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 PRINTERS PL
HOT SPRINGS AR
71913-6205
US

IV. Provider business mailing address

121 PRINTERS PL
HOT SPRINGS AR
71913-6205
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-3800
  • Fax: 501-623-9089
Mailing address:
  • Phone: 501-623-3800
  • Fax: 501-623-9089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number344600000X
License Number StateAR

VIII. Authorized Official

Name: MR. DAVE COOK
Title or Position: GENERAL MANAGER
Credential:
Phone: 501-623-3800