Panfilo Estrada-Flores
Cardiothoracic Vascular Surgeon Nurse Practitioner - Acute Care
1 Medical Park Dr
Benton
, Arkansas 72015-3353
Panfilo Estrada-Flores
Cardiothoracic Vascular Surgeon Nurse Practitioner - Acute Care
1 Medical Park Dr
Benton
, Arkansas 72015-3353
(870) 308-2006
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Panfilo Estrada-Flores
- 1204 Stamford Dr
- Benton, AR
- Zip : 72019-0807
- Phone : (870) 308-2006
Second Address
- Panfilo Estrada-Flores
- 1 Medical Park Dr
- Benton, AR
- Zip : 72015-3353
- Phone : (501) 776-6000
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Is Panfilo Estrada-Flores a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208G00000X | Cardiothoracic Vascular Surgeon | A006076 | AR |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | A006076 | AR |
National Provider Identifier
| NPI | 1154889707 |
|---|---|
| Provider Name | Panfilo Estrada-Flores |
| First Address | Benton, AR 72019-0807 |
| Second Address | Benton, AR 72015-3353 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2019 |
| Last Update Date | 15/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.