Rex Edward Luttrell Md Pa

LBN: Rex Edward Luttrell Md Pa
Rex Edward Luttrell Md Pa is an health care organization with primary practice located at 1300 Braden St Pod B, Jacksonville AR 72076-3719. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Rex Edward Luttrell Md Pa can be contacted via phone (501) 978-4343, or through Luttrell, Rex E via phone (501) 978-4343.

Contact Information

Primary practice address
1300 Braden St Pod B Jacksonville AR 72076-3719
Phone: (501) 978-4343
Fax: (501) 975-8995
Website:
Map and Directions
Authorized official contact:
Name: Luttrell, Rex E Doctor of Medicine (MD)
Phone: (501) 978-4343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MC2274 Arkansas

Profile Details

NPI number 1548276223
LBN Legal business name Rex Edward Luttrell Md Pa
DBA Doing business as
Authorized official Luttrell, Rex E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 25th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548276223 NPPES
Arkansas MEDICAID 149546002

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