Provider Demographics
NPI:1235456575
Name:HOPE URGENT CARE PLLC
Entity Type:Organization
Organization Name:HOPE URGENT CARE PLLC
Other - Org Name:PRIMARY CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-826-7500
Mailing Address - Street 1:502 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-3646
Mailing Address - Country:US
Mailing Address - Phone:870-777-8733
Mailing Address - Fax:870-495-2181
Practice Address - Street 1:502 E 24TH ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-3646
Practice Address - Country:US
Practice Address - Phone:870-777-8733
Practice Address - Fax:870-495-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1887261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR135783001Medicaid