=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801927009
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHFIRST PHYSICIANS OF ARKANSAS DBA WILLIAMS J. WRIGHT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2007
-----------------------------------------------------
Last Update Date | 07/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 MERCY LN STE 211
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71913-6457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-624-3312
-----------------------------------------------------
Fax | 501-321-1770
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 21190
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71903-1190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-624-3312
-----------------------------------------------------
Fax | 501-321-1770
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAN
-----------------------------------------------------
Name | DR. WILLIAM J. WRIGHT
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 501-624-3312
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | C4872
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------