Healthcare Provider Details

I. General information

NPI: 1225007602
Provider Name (Legal Business Name): DENISE LOUISE CAPEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RESERVE ST
HOT SPRINGS AR
71901-4195
US

IV. Provider business mailing address

105 RESERVE ST
HOT SPRINGS AR
71901-4195
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-4411
  • Fax: 501-624-0019
Mailing address:
  • Phone: 501-624-4411
  • Fax: 501-624-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-2024
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: