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

Southside Medical Clinic

Organization Internal Medicine Physician · NPI 1194937235

Southside Medical Clinic is an Internal Medicine Physician in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

623 S 21st St
Fort Smith, AR 72901-3914
Phone: (479) 441-1500
Fax: (479) 441-1502
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence E1751 (AR)

Record details

NPI number1194937235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thuylinh Pham — Ceo · (870) 424-5079
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 310, Mountain Home, AR 72654-0310

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