Provider Demographics
NPI:1245101427
Name:HSD MANAGEMENT OF HOT SPRINGS
Entity type:Organization
Organization Name:HSD MANAGEMENT OF HOT SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:TANCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:539-476-2015
Mailing Address - Street 1:5312 W 41ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-6110
Mailing Address - Country:US
Mailing Address - Phone:501-276-2020
Mailing Address - Fax:501-525-5080
Practice Address - Street 1:4043 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7341
Practice Address - Country:US
Practice Address - Phone:501-276-2020
Practice Address - Fax:201-525-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty