Provider Demographics
NPI:1609894948
Name:HESTER, JOE D (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:D
Last Name:HESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2713 CHAFFIN LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-4329
Mailing Address - Country:US
Mailing Address - Phone:870-836-3636
Mailing Address - Fax:870-836-6136
Practice Address - Street 1:1700 PITTMAN STREET
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753
Practice Address - Country:US
Practice Address - Phone:870-234-3937
Practice Address - Fax:870-234-1727
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC5403207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR103663001Medicaid
AR103663001Medicaid
ARD04634Medicare UPIN
AR52353Medicare PIN