Provider Demographics
NPI:1497903611
Name:J HARLEY BARROW JR MD PLLC
Entity Type:Organization
Organization Name:J HARLEY BARROW JR MD PLLC
Other - Org Name:THE CENTER FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC CPMA CPPC
Authorized Official - Phone:870-232-7309
Mailing Address - Street 1:628 HOSPITAL DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2937
Mailing Address - Country:US
Mailing Address - Phone:870-425-7300
Mailing Address - Fax:870-425-4431
Practice Address - Street 1:628 HOSPITAL DR STE 2A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2937
Practice Address - Country:US
Practice Address - Phone:870-425-7300
Practice Address - Fax:870-425-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE2833174400000X
207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR174684002OtherRR MEDICARE PROVIDER NUMBER
ARMC2144OtherAR MEDICAL FACILITY LICENSE
AR5G068OtherMEDICARE PTAN
AR143910001Medicaid