Conway Urology, Pa
LBN: Conway Urology, Pa
Conway Urology, Pa is an health care organization with primary practice located at 495 Hogan Lane Suite 2, Conway AR 72034. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty.
Conway Urology, Pa can be contacted via phone (501) 327-5850, or through Shirley, David Craig via phone (501) 327-5850.
Contact Information
Primary practice address
495 Hogan Lane Suite 2
Conway AR 72034
Phone: (501) 327-5850
Fax: (501) 327-4910
Website:
Authorized official contact:
Name: Shirley, David Craig Doctor of Medicine (MD)
Phone: (501) 327-5850
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MC-1601 | Arkansas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | N-7212 | Arkansas |
Profile Details
| NPI number | 1255358263 |
|---|---|
| LBN Legal business name | Conway Urology, Pa |
| DBA Doing business as | |
| Authorized official | Shirley, David Craig Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 21st, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255358263 | NPPES |
| Arkansas | MEDICAID | 113501-001 | |
| Arkansas | MEDICAID | 159254002 |
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