Healthcare Provider Details

I. General information

NPI: 1134335052
Provider Name (Legal Business Name): HRS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 WAGON WHEEL CT
LITTLE ROCK AR
72211-4160
US

IV. Provider business mailing address

17 WAGON WHEEL CT
LITTLE ROCK AR
72211-4160
US

V. Phone/Fax

Practice location:
  • Phone: 501-223-8211
  • Fax: 501-570-4003
Mailing address:
  • Phone: 501-223-8211
  • Fax: 501-570-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number174400000X
License Number StateAR

VIII. Authorized Official

Name: MS. HAZEL R. SCROGGINS
Title or Position: OWNER
Credential:
Phone: 501-223-8211