NPI 1992254346 · live from the CMS NPI Registry
Arkansas Liver And Gastroenterology, P.A.
Internal Medicine, Gastroenterology in Broken Arrow, OK. National Provider Identifier 1992254346, active.
NPI record
| NPI | 1992254346 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 817 S Elm Pl, Suite 105, Broken Arrow, OK 74012 |
| Practice phone | 479-242-2888 |
| Mailing address | 3416 Old Greenwood Rd, Fort Smith, AR 72903 |
| Enumerated | September 27, 2016 |
| Last updated | September 27, 2016 |
| Authorized official | Ihab Herraka, President |
| Other names | The Liver Care Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.