Provider Demographics
NPI:1285297606
Name:XU, ANN (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-4027
Mailing Address - Country:US
Mailing Address - Phone:501-621-4222
Mailing Address - Fax:888-494-0987
Practice Address - Street 1:301 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-4027
Practice Address - Country:US
Practice Address - Phone:501-621-4222
Practice Address - Fax:888-494-0987
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE18019207R00000X
ARE-18019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine