Organization Active NPI

Generational Health of Arkansas

  • Clinic/Center
  • Conway, AR
National Provider Identifier
1972480945
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GENERATIONAL HEALTH OF ARKANSAS
Practice address
1100 Oak St Ste V27
Conway, AR 72032-4318
Phone
(713) 338-9901
Fax
(713) 338-9902
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Eeman Tariq, MD
Title
Owner
Phone
(713) 338-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1100 Oak St Ste V27
Conway, AR 72032-4318

Mailing address

1100 Oak St Ste V27
Conway, AR 72032-4318
Phone (713) 338-9901

National Provider Directory

National Provider Directory

Locations

1100 Oak St
Ste V27
Conway, AR 72032
Phone (713) 338-9901

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1972480945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OAK ST STE V27",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324318",
            "telephone_number": "713-338-9901",
            "fax_number": "713-338-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OAK ST STE V27",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324318",
            "telephone_number": "713-338-9901",
            "fax_number": "713-338-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL HEALTH OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "EEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-338-9901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.