| Phs Of Dallas | |
|
201 N Clifton St Fordyce AR 71742-3026 | |
| (870) 352-6300 | |
| Not Available |
| Full Name | Phs Of Dallas |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 N Clifton St, Fordyce, Arkansas |
| Authorized Official Name and Position | Joseph S. Mcnulty (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phs Of Dallas 110 Pioneer Way Magee MS 39111-5501 Ph: (601) 849-6440 | Phs Of Dallas 201 N Clifton St Fordyce AR 71742-3026 Ph: (870) 352-6300 |
| NPI Number | 1083983589 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083983589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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