Organization Active NPI

Southwest Arkansas Medical Staffing Solutions, PLLC

  • Family Medicine Physician
  • Texarkana, AR
National Provider Identifier
1417415399
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHWEST ARKANSAS MEDICAL STAFFING SOLUTIONS, PLLC
Practice address
4803 Jefferson Ave # 126
Texarkana, AR 71854-1143
Phone
(903) 884-5770
NPI assigned
Mar 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sterling Brown, MDNPI 1689101099
Title
Manager
Phone
(903) 884-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4803 Jefferson Ave # 126
Texarkana, AR 71854-1143

Mailing address

4803 Jefferson Ave # 126
Texarkana, AR 71854-1143
Phone (903) 884-5770

National Provider Directory

National Provider Directory

Locations

4803 Jefferson Ave
Texarkana, AR 71854
Phone (903) 884-5770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1417415399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 JEFFERSON AVE # 126",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541143",
            "telephone_number": "903-884-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 JEFFERSON AVE # 126",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541143",
            "telephone_number": "903-884-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ARKANSAS MEDICAL STAFFING SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-884-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.