Provider Demographics
NPI:1417415399
Name:SOUTHWEST ARKANSAS MEDICAL STAFFING SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:SOUTHWEST ARKANSAS MEDICAL STAFFING SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-884-5770
Mailing Address - Street 1:4803 JEFFERSON AVE # 126
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1143
Mailing Address - Country:US
Mailing Address - Phone:903-884-5770
Mailing Address - Fax:
Practice Address - Street 1:4803 JEFFERSON AVE # 126
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1143
Practice Address - Country:US
Practice Address - Phone:903-884-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-09
Last Update Date:2019-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty