Provider Demographics
NPI:1356987028
Name:CENTRAL ARKANSAS OBGYN PLLC
Entity type:Organization
Organization Name:CENTRAL ARKANSAS OBGYN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:270-832-3528
Mailing Address - Street 1:PO BOX 1798
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-1798
Mailing Address - Country:US
Mailing Address - Phone:270-832-3528
Mailing Address - Fax:
Practice Address - Street 1:1014 HARKRIDER ST STE B
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4471
Practice Address - Country:US
Practice Address - Phone:270-832-3528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty