Bradley Bibb MD PLLC
Clinic/Center, Rural Health in Texarkana, AR. Organization (NPI-2).
NPI number1871346064
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1871346064
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley Bibb MD PLLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Access Medical Clinic (Other Name)
Practice location
3809 E 9th St Ste 15Texarkana, AR 71854-5818
Phone 870-621-0080 · Fax 870-621-0081
Mailing address
4196 Highway 62 412 Ste AHardy, AR 72542-8002
Phone 870-856-1202
Authorized official
Monya York
Controller
8708561202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center, Rural Health providers in Texarkana, AR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.