Southwest Family Practice Clinic

LBN: University Of Arkansas For Medical Sciences
Southwest Family Practice Clinic is an health care organization with primary practice located at 3417 U Of A Way , Texarkana AR 71854-1419. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Community Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. University Of Arkansas For Medical Sciences can be contacted via phone (870) 779-6000, or through George, Amanda D via phone (501) 686-5670.

Contact Information

Primary practice address
3417 U Of A Way Texarkana AR 71854-1419
Fax: (870) 779-6093
Website:
Authorized official contact:
Name: George, Amanda D

Health care specialties

Profile Details

NPI number 1215935234
LBN Legal business name University Of Arkansas For Medical Sciences
DBA Doing business as Southwest Family Practice Clinic
Authorized official George, Amanda D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215935234 NPPES
Texas MEDICAID 092113201
Texas MEDICAID 213409069

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