Provider Demographics
NPI:1366229247
Name:DIRECT SURGICAL CARE OF HOT SPRINGS, PLLC
Entity type:Organization
Organization Name:DIRECT SURGICAL CARE OF HOT SPRINGS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-680-5071
Mailing Address - Street 1:1401 MALVERN AVE STE 274
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-6371
Mailing Address - Country:US
Mailing Address - Phone:501-359-3793
Mailing Address - Fax:501-359-3807
Practice Address - Street 1:1401 MALVERN AVE STE 274
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6371
Practice Address - Country:US
Practice Address - Phone:501-359-3793
Practice Address - Fax:501-359-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty