| Living Hope Southwest Medical Services | |
|
801 Arkansas Blvd Texarkana AR 71854-2107 | |
| (870) 774-4673 | |
| (870) 774-9313 |
| Full Name | Living Hope Southwest Medical Services |
|---|---|
| Speciality | Psychologist - Health |
| Location | 801 Arkansas Blvd, Texarkana, Arkansas |
| Authorized Official Name and Position | Cindy L Lavassar (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 9037934673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Hope Southwest Medical Services 801 Arkansas Blvd Texarkana AR 71854-2107 Ph: (870) 774-4673 | Living Hope Southwest Medical Services 801 Arkansas Blvd Texarkana AR 71854-2107 Ph: (870) 774-4673 |
| NPI Number | 1104041425 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104041425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | AR3925 (Arkansas) | Primary |
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