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General NPI Number Information
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NPI Number | 1215935234
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 3417 U OF A WAY
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City | TEXARKANA
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State | AR
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Zip | 71854-1419
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Country | US
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Telephone | 870-779-6000
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Fax | 870-779-6093
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Provider Business Mailing Address
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Address Line | 3417 U OF A WAY
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City | TEXARKANA
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State | AR
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Zip | 71854-1419
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Country | US
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Telephone | 870-779-6000
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Fax | 870-779-6093
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Authorized Official
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Title or Position | VICE CHANCELLOR-CHIEF FINANCIAL OFF
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Name | AMANDA D GEORGE
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Credential |
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Telephone | 501-686-5670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | AR
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