Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henderson State University

Organization Family Medicine Physician · NPI 1043968894

Henderson State University is a Family Medicine Physician in Arkadelphia, Arkansas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1100 Henderson St
Arkadelphia, AR 71999-0001
Phone: (870) 230-5102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043968894
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenderson State University
Authorized official Renee Walls — Interim Director · (870) 230-5102
Other names Student Health And Wellness; Student Health And Wellness
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address1100 Henderson St, Arkadelphia, AR 71999-0001

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