Provider Demographics
NPI:1922102235
Name:OXNER, TROY W (DO)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:W
Last Name:OXNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 ALBERT PIKE RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4003
Mailing Address - Country:US
Mailing Address - Phone:501-767-1144
Mailing Address - Fax:501-767-4455
Practice Address - Street 1:2605 ALBERT PIKE RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4514
Practice Address - Country:US
Practice Address - Phone:501-767-1144
Practice Address - Fax:501-767-4455
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN7362207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR113699003Medicaid
AR51729Medicare PIN
AR113699003Medicaid