Healthcare Provider Details

I. General information

NPI: 1104049048
Provider Name (Legal Business Name): WILLIAM J. HELMS, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 W MAIN ST
RUSSELLVILLE AR
72801-2760
US

IV. Provider business mailing address

PO BOX 845605
DALLAS TX
75284-5605
US

V. Phone/Fax

Practice location:
  • Phone: 479-968-8940
  • Fax:
Mailing address:
  • Phone: 479-968-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC8266
License Number StateAR

VIII. Authorized Official

Name: MARCUS GLOVER
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 214-420-0650