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DR. RENE CHARLES DUFFOURC M.D. NPI 1720209588


NPI Information

NPI: 1720209588
Provider Name: DR. RENE CHARLES DUFFOURC, M.D.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
1 PARK DR
SUITE C
HOLIDAY ISLAND, AR
ZIP 72631
Phone: (479) 363-9174
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DR. Rene Charles Duffourc, M.D. is a psychiatry psychiatry neurology in Holiday Island, AR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Rene Charles Duffourc, M.D. NPI is 1720209588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 PARK DR
SUITE C
HOLIDAY ISLAND, AR
ZIP 72631-216
Phone: (479) 363-9174
Fax: (479) 363-9175

The enumeration date for this NPI number is 5/1/2007 and was last updated on 3/12/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryE-6696ARKANSASNo
22084P0800XPsychiatry & NeurologyPsychiatryE-6696ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1185967001MEDICAIDARKANSAS
25AG75B889MEDICARE PINARKANSAS
3431560263OTHERARKANSASTRICARE
45MO34MEDICARE UPINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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