Provider Demographics
NPI:1750123337
Name:TAYLOR HEALTH AND WELLNESS OF ARKANSAS, PA
Entity type:Organization
Organization Name:TAYLOR HEALTH AND WELLNESS OF ARKANSAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-847-2835
Mailing Address - Street 1:4430 HIGHWAY 5 N STE 6
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7047
Mailing Address - Country:US
Mailing Address - Phone:501-847-2835
Mailing Address - Fax:501-847-3802
Practice Address - Street 1:4430 HIGHWAY 5 N STE 6
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7047
Practice Address - Country:US
Practice Address - Phone:501-847-2835
Practice Address - Fax:501-847-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care