GOUA LEO VANG (NPI# 1114329448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114329448 |
| Entity Type | Individual |
| Full Name | GOUA LEO VANG |
| Practice Address |
11140 Gibson Rd Waldron AR 72958-8293 |
| Practice Telephone | 4793579260 |
| Mailing Telephone | 4793579260 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
11140 GIBSON RD |
| City | WALDRON |
| State | AR |
| Zip Code | 72958-8293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992212013 | River Valley Primary Care Services, Inc | Family Medicine | 2074 Rice Road, Waldron, AR 72958 | 2018-01-10 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1992073225 | Western Arkansas Couseling & Guidance Center, Inc.-scott County | Community/Behavioral Health | 1857 Rice St, Waldron, AR 72958 | 2011-12-01 |
| 1649445859 | Western Arkansas Counseling & Guidance Center, Inc.-scott County | Community/Behavioral Health | 1857 Rice Street, Waldron, AR 72958 | 2008-04-29 |
| 1851877849 | David Reed Harris | Counselor | 1857 Rice Street, Waldron, AR 72958-0312 | 2018-07-13 |
| 1336252980 | Robbins Mark Bailey | Dentist | 2114 Rice Street, Waldron, AR 72958-0907 | 2006-08-17 |
| 1306945159 | R. Mark Bailey,d.d.s.,p.a. | Dentist | 2114 Rice Street, Waldron, AR 72958-0907 | 2006-09-21 |
| 1639609381 | Harps Food Stores, Inc | Pharmacy | 1350 W 6th St, Waldron, AR 72958-2600 | 2017-06-15 |
| 1518977669 | State of Arkansas | Home Health | 487 West 6th Street, Scott County Health Unit, Waldron, AR 72958-4630 | 2006-08-09 |
| 1912393836 | Hightower and Shepard Group LLC | Assisted Living Facility | 520 W 2nd St, Waldron, AR 72958-7057 | 2015-04-07 |
| Find all providers in zip 72958 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666849 | Anne Marie Kinchen | Driver | 1548 W 10th St, North Little Rock, AR 72114-3948 | 2020-10-09 |
| 1427682699 | Hassen Hassen | Driver | 3700 S Caraway Rd, Jonesboro, AR 72404-7444 | 2020-02-26 |
| 1154955797 | Aniefiok Jacob | Driver | 3306 Shelby Dr, Jonesboro, AR 72404-0637 | 2020-02-22 |
| 1235762121 | Constance Hall | Driver | 3605 S Holly St, Pine Bluff, AR 71603-6253 | 2020-02-19 |
| 1083259519 | Judy Lynn Nichols | Driver | 2311 W Maddox Rd, Jacksonville, AR 72076-8771 | 2019-11-07 |
| 1386205359 | Lasonjia Denise Blackmon | Driver | 5202 Mulberry Pl, Little Rock, AR 72206-4913 | 2019-06-21 |
| 1487215489 | Calvin E Day | Driver | 10201 Republic Ln, Little Rock, AR 72209-8438 | 2019-06-21 |
| 1245736420 | Denise Hudson | Driver | 1506 S State St, Little Rock, AR 72202-3768 | 2018-04-05 |
| 1740793231 | Lonzell Blackmon | Driver | 10 Roxbury Dr, Little Rock, AR 72209-2133 | 2017-11-07 |
| 1548770811 | John L Musgraves | Driver | 3404 Philco, Blytheville, AR 72315-5176 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.