Healthcare Provider Details

I. General information

NPI: 1518181775
Provider Name (Legal Business Name): BRIAN HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 LILE DR
LITTLE ROCK AR
72205-6217
US

IV. Provider business mailing address

10001 LILE DR
LITTLE ROCK AR
72205-6217
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-8000
  • Fax:
Mailing address:
  • Phone: 501-227-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberE-5568
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: