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

Northwest Arkansas Internal Medicine, PLLC

Organization Internal Medicine Physician · NPI 1053615211

Northwest Arkansas Internal Medicine, PLLC is an Internal Medicine Physician in Bentonville, Arkansas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 Mid Cities Dr Ste 3
Bentonville, AR 72712-4270
Phone: (479) 876-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1053615211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Tejada — Owner · (479) 751-8881
NPI enumeratedJanuary 3, 2011
Last updated in NPPESJanuary 3, 2011
Mailing address2805 Mid Cities Dr, Suite 3, Bentonville, AR 72712-4270

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