Unknown Individual – Family Medicine Physician, NPI 1376546622
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 729
FORDYCE, AR 717420729
Phone: (870) 352-5144
Fax: (870) 352-8498
Type: Mailing
110 N CLIFTON ST
FORDYCE, AR 717423025
Phone: (870) 352-5144
Fax: (870) 352-8498
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71742)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AR | 81002 | Urinalysis, manual test | 156 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| General Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR |
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