| Family Care Of Southern Arkansas, Ltd | |
|
3108 N West Ave El Dorado AR 71730-2731 | |
| (870) 863-9020 | |
| Not Available |
| Full Name | Family Care Of Southern Arkansas, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 3108 N West Ave, El Dorado, Arkansas |
| Authorized Official Name and Position | Robert A Watson (MD/OWNER) |
| Authorized Official Contact | 8708639020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Southern Arkansas, Ltd 11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 Ph: (501) 812-7800 | Family Care Of Southern Arkansas, Ltd 3108 N West Ave El Dorado AR 71730-2731 Ph: (870) 863-9020 |
| NPI Number | 1790050466 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 03/14/2012 |
| Medicare PECOS PAC ID | 3375702038 |
|---|---|
| Medicare Enrollment ID | O20120315000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790050466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-1050 (Arkansas) | Primary |
| Provider Name | Robert A Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417060286 PECOS PAC ID: 3375509540 Enrollment ID: I20041209000053 |
| Provider Name | Vanessa N Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194311498 PECOS PAC ID: 4880008762 Enrollment ID: I20210204002266 |
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University Of Arkansas For Medical Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-541-6000 | |
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William L. Harper, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Oak St, El Dorado, AR 71730 Phone: 870-863-5135 Fax: 870-863-5137 | |
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