Henry Wallace M.D. Orthopedist in Heber Springs AR

Henry Wallace M.D. is an orthopedic with a current address of 301 Southridge Blvd Ste A  Heber Springs AR 7-2543. The NPI is 1922327485, and the license number is N4831 (TX). It was issued on 05/24/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on november 1, 2019.

Henry Wallace M.D. can be reached by phone at 5012060176, by mail at 800 Fair Park Blvd Little Rock AR 72204-1720, or by fax at .

 

Name: Henry Wallace M.D.

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: No

Gender: Male

 

Practice Location Address:

301 Southridge Blvd Ste A

Heber Springs

AR 7-2543

Telephone Number: 5012060176

Fax Number: 5012060179

 

Mailing Address:

800 Fair Park Blvd

Little Rock

AR 72204-1720

Telephone Number: 5016046900

Fax Number:

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

 

NPI Number: 1922327485

Enumeration Date: 05/24/2010

Last Update: november 1, 2019

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

 

Primary Taxonomy Code: 207X00000X

License Number: N4831

License State: TX

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 1922327485

Code Type: 1

Identifier State: AR

Identifier Issuer: Npi

 

Other Identifiers (if any):

188382001

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AR