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Search › Arkansas › 207RI0011X

Omar Yacob

NPI 1417442369 · on the registry since 2018 · sole proprietor

Practice

Address
625 United Dr Ste 220
Conway, AR 72032
Phone
(501) 358-6361
Fax
(501) 358-6714
Organisation at this address
Lab One Llc
Lab One Llc
Baptist Health
Bryan D Fuller Md Pa
Arkansas Health Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Also registered as
207R00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas