Grand Prairie Medical Group, Pllc

LBN: Grand Prairie Medical Group, Pllc
Grand Prairie Medical Group, Pllc is an health care organization with primary practice located at 1012 E 22Nd St , Stuttgart AR 72160-6825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Grand Prairie Medical Group, Pllc can be contacted via phone (870) 672-0911, or through Smith, Candice via phone (903) 791-9355.

Contact Information

Primary practice address
1012 E 22Nd St Stuttgart AR 72160-6825
Phone: (870) 672-0911
Fax: (870) 672-0914
Website:
Map and Directions
Authorized official contact:
Name: Smith, Candice
Phone: (903) 791-9355

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1285047688
LBN Legal business name Grand Prairie Medical Group, Pllc
DBA Doing business as
Authorized official Smith, Candice
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2014
Last updated Nov 14th, 2014 - about 11 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.

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