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1932183142

NPI Code Detail

MEDICARE: DR. JUDSON NATHAN HOUT MD

MEDICARE: DR. JUDSON NATHAN HOUT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C2937	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	291377	OTHER	AR	HEALTHLINK
2	0100427	OTHER	AR	UNITED HEALTHCARE
3	13275000000	OTHER		QUALCHOICE
4	52492	OTHER	AR	BLUE CROSS BLUE SHIELD
5	4350726	OTHER		AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	770001301	OTHER	AR	BREASTCARE

General Provider Information

NPI Number	:	1932183142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDSON NATHAN HOUT MD

Provider Business Mailing Address
First Line	:	PO BOX 757
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71711-0757
Country	:	US
Telephone Number	:	870-836-8101
Fax Number	:	870-837-6833

Provider Business Practice Location Address
First Line	:	353 CASH RD SW
Second Line	:
City	:	CAMDEN
State	:	AR
Zip	:	71701-3704
Country	:	US
Telephone Number	:	870-836-8101
Fax Number	:	870-837-6833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	10/03/2008

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Directions to “ DR. JUDSON NATHAN HOUT MD” Practice Location

Language	Start Address	Practice Location

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