Delta Direct Health PLLC
Clinic/Center in Mountain Home, AR. Organization (NPI-2).
NPI number1063370930
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1063370930
- Entity type
- Organization (NPI-2)
- Legal business name
- Delta Direct Health PLLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2026
- Certification date
- Jan 11, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
701 South St Ste 100Mountain Home, AR 72653-4452
Phone 870-276-3768
Mailing address
701 South St Ste 100Mountain Home, AR 72653-4452
Authorized official
Khaled Hassan
Owner
8702763768
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