Healthcare Provider Details

I. General information

NPI: 1902806870
Provider Name (Legal Business Name): CLEMENS E SOELLER SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 HOLLYWOOD AVE
HOT SPRINGS AR
71901-7057
US

IV. Provider business mailing address

104 HOLLYWOOD AVE
HOT SPRINGS AR
71901-7057
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-0555
  • Fax:
Mailing address:
  • Phone: 318-422-9658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number023236
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberE3736
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number20250524760
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberMD.023236
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberM2821
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number52383
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: