Provider Demographics
NPI:1316138092
Name:P. A. HAMES & ASSOCIATES
Entity type:Organization
Organization Name:P. A. HAMES & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:501-221-0984
Mailing Address - Street 1:12511 CANTRELL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1639
Mailing Address - Country:US
Mailing Address - Phone:501-993-6919
Mailing Address - Fax:
Practice Address - Street 1:12511 CANTRELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1639
Practice Address - Country:US
Practice Address - Phone:501-993-6919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR161261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center