| Primary Care Of Arkansas Chrystal Johnson Md | |
|
500 S University Ave Suite 515 Little Rock AR 72205-5302 | |
| (501) 666-6100 | |
| (501) 666-6107 |
| Full Name | Primary Care Of Arkansas Chrystal Johnson Md |
|---|---|
| Speciality | Family Medicine |
| Location | 500 S University Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Chrystal Dian Johnson (OWNER) |
| Authorized Official Contact | 5016666100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Arkansas Chrystal Johnson Md 500 S University Ave Suite 515 Little Rock AR 72205-5302 Ph: (501) 666-6100 | Primary Care Of Arkansas Chrystal Johnson Md 500 S University Ave Suite 515 Little Rock AR 72205-5302 Ph: (501) 666-6100 |
| NPI Number | 1013161363 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013161363 | NPI | - | NPPES |
| 150345001 | Medicaid | AR | |
| 181136002 | Medicaid | AR | |
| 04010017400 | Other | AR | QUAL CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lane Eye Care Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-225-4648 Fax: 501-225-8628 | |
On The Go Med Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 I-30 Ste 304, Little Rock, AR 72209 Phone: 501-455-9500 Fax: 501-455-9505 | |
Servant Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 Phone: 501-246-7274 Fax: 501-421-4161 | |
Evgueni Roudachevski, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11912 Kanis Rd, Suite F2, Little Rock, AR 72211 Phone: 501-227-8020 Fax: 501-227-8826 | |
Senior Care Solutions Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-4300 Fax: 501-821-4300 | |
Benny J Green Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14309 Cantrell Rd, Ste 7, Little Rock, AR 72223 Phone: 501-224-6727 Fax: 501-224-0674 |