Most Relevant Information
Provider Data
| NPI Number: | 1003385360 |
| Provider Name: | CEGE NEISSL QBHP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/16/2018 |
| Last Updated: | 11/16/2018 |
Provider Practice Location
2007 E WALNUT
PARIS
AR
72855
Practice Location Phone/Fax
| Phone: | 4799632143 |
| Fax: | 4799632144 |
Provider Mailing Location
2007 E WALNUT
PARIS
AR
72855
Provider Mailing Phone/Fax
| Phone: | 4799632143 |
| Fax: | 4799632144 |