PRIMARY CARE 360 NPI 1124678586

NPI Information

PRIMARY CARE 360 is a family medicine in Sherwood, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE 360 NPI is 1124678586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 SHADOW OAKS DR
SHERWOOD, AR
ZIP 72120-046
Phone: (501) 486-4045

The provider's authorized official is Khalid Rayaz .
The authorized official title is Owner and has the following contact phone number (501) 833-4001.

The CLIA number assigned to this NPI record is 04D2194560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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