Generational Health Of Arkansas
Clinic/Center in Conway, AR. Organization (NPI-2).
NPI number1972480945
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1972480945
- Entity type
- Organization (NPI-2)
- Legal business name
- Generational Health Of Arkansas
- Organization subpart
- No
- Enumeration date
- Aug 20, 2025
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1100 Oak St Ste V27Conway, AR 72032-4318
Phone 713-338-9901 · Fax 713-338-9902
Mailing address
1100 Oak St Ste V27Conway, AR 72032-4318
Phone 713-338-9901 · Fax 713-338-9902
Authorized official
Eeman Tariq
Owner
7133389901
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