| Phomakay Primary Care Pa | |
|
10301 Mayo Dr Barling AR 72923-1660 | |
| (479) 782-5500 | |
| (479) 782-5502 |
| Full Name | Phomakay Primary Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10301 Mayo Dr, Barling, Arkansas |
| Authorized Official Name and Position | Chansamone M Phomakay (OWNER) |
| Authorized Official Contact | 4797825500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phomakay Primary Care Pa Po Box 10154 Fort Smith AR 72917-0154 Ph: (479) 782-5500 | Phomakay Primary Care Pa 10301 Mayo Dr Barling AR 72923-1660 Ph: (479) 782-5500 |
| NPI Number | 1124466701 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 11/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124466701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-6214 (Arkansas) | Primary |
Lg Sasser Iii Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Fort St, Barling, AR 72923 Phone: 479-763-1511 Fax: 479-358-1455 | |
Community Family Medical Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Fort Street, Barling, AR 72923 Phone: 918-427-7581 Fax: 918-427-7798 |