These Old Bonez Enterprises
Specialty details in registry · Proctor, AR
At a glance
2144 Hwy147 South- Building A, Proctor, AR 72376-2346
NPPES record updated May 7, 2021. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
2144 Hwy147 South- Building AProctor, AR 72376-2346
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3747P1801X
- Enumeration date
- Apr 9, 2018
- Record updated
- May 7, 2021
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
251300000X
251B00000X
251E00000X
251J00000X
251T00000X
253Z00000X
261QM0801X
320800000X
320900000X
343900000X
347C00000X
3747P1801X · Primary
385H00000X
385H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2144 Hwy147 South- Building AProctor, AR 72376-2346
- Phone
- (870) 277-0082
- Fax
- (901) 205-0597
Mailing address
PO BOX 1298WEST MEMPHIS, AR 723031298
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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