Provider Demographics
NPI:1992779722
Name:HUGHES, ALAN W (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:W
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3 MEDICAL PARK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-3726
Mailing Address - Country:US
Mailing Address - Phone:501-778-1113
Mailing Address - Fax:
Practice Address - Street 1:3 MEDICAL PARK DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-3728
Practice Address - Country:US
Practice Address - Phone:501-778-1113
Practice Address - Fax:501-778-5391
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7930207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR71081368572015A003OtherTRICARE
AR180034662OtherRAILROAD MEDICARE
AR0820037OtherUNITEDHEALTHCARE
AR4975964001OtherCIGNA
AR5129116OtherAETNA
AR128316001Medicaid
AR16553000000OtherQUALCHOICE
AR71081368572015A003OtherTRICARE
AR128316001Medicaid