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

Mid-South Renal Clinic, PLC

Organization Specialist · NPI 1093724346

Mid-South Renal Clinic, PLC is a Specialist in Marion, Arkansas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1120 State Highway 77 Ste 1
Marion, AR 72364-9046
Phone: (870) 733-1177
Fax: (870) 702-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1093724346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mashhud Mirza — President · (870) 733-1177
NPI enumeratedAugust 5, 2006
Last updated in NPPESMay 3, 2013
Mailing addressPo Box 55, Marion, AR 72364-0055

Other providers in Marion