Provider Demographics
NPI:1780696856
Name:ARKANSAS ORTHOPAEDIC HAND CENTER, P.A.
Entity type:Organization
Organization Name:ARKANSAS ORTHOPAEDIC HAND CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-750-7256
Mailing Address - Street 1:5511 WALSH LANE
Mailing Address - Street 2:PO BOX 307
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72757
Mailing Address - Country:US
Mailing Address - Phone:479-750-7256
Mailing Address - Fax:479-750-7442
Practice Address - Street 1:5511 WALSH LANE
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72757
Practice Address - Country:US
Practice Address - Phone:479-750-7256
Practice Address - Fax:479-750-7442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4212207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty