Healthcare Provider Details
I. General information
NPI: 1316279375
Provider Name (Legal Business Name): HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2010
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4517 PARK AVE
HOT SPRINGS AR
71901-9476
US
IV. Provider business mailing address
1661 AIRPORT RD SUITE D
HOT SPRINGS AR
71913-7951
US
V. Phone/Fax
- Phone: 501-623-7900
- Fax: 501-623-7337
- Phone: 501-625-7500
- Fax: 501-625-7777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
R
FINCH
Title or Position: PROVIDER
Credential: D.O.
Phone: 501-625-7500