HEALTH FOR LIFE CLINIC PLLC NPI 1760736565

NPI Information

HEALTH FOR LIFE CLINIC PLLC is a general practice in Little Rock, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HEALTH FOR LIFE CLINIC PLLC NPI is 1760736565. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1100 N UNIVERSITY AVE
STE 260
LITTLE ROCK, AR
ZIP 72207-343
Phone: (501) 603-0003
Fax: (501) 603-0030

The provider's authorized official is Tia Proctor .
The authorized official title is Billing Administrator and has the following contact phone number (501) 603-0003.

The CLIA number assigned to this NPI record is 04D1038130 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 10/31/2012.

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

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

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