Provider Demographics
NPI:1053490102
Name:HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Entity type:Organization
Organization Name:HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:OXNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:501-767-1144
Mailing Address - Street 1:2605 ALBERT PIKE RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4514
Mailing Address - Country:US
Mailing Address - Phone:501-767-1144
Mailing Address - Fax:501-767-4455
Practice Address - Street 1:2605 ALBERT PIKE RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4514
Practice Address - Country:US
Practice Address - Phone:501-767-1144
Practice Address - Fax:501-767-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR139987002Medicaid
AR139987002Medicaid