Robert R. Hull, M.D., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R2036 Issued in AR

Legal business name

ROBERT R. HULL, M.D., P.A.

Practice address

1301 W Persimmon St
Rogers, AR 72756-3345

Phone

(479) 636-0171

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Crystal Nichole Seals, CPC

Title

Business Director

Phone

(479) 636-0171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1477984979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563345",
            "telephone_number": "479-636-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563345",
            "telephone_number": "479-636-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. HULL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "479-636-0171",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "R2036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101086001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.