MEDICARE: ADVANCED SPINE AND PAIN CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1619219433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SPINE AND PAIN CENTERS, INC.

Provider Business Mailing Address
First Line	:	11220 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4492
Country	:	US
Telephone Number	:	501-219-1114
Fax Number	:	501-219-1115

Provider Business Practice Location Address
First Line	:	11220 EXECUTIVE CENTER DR STE 200
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4492
Country	:	US
Telephone Number	:	501-219-1114
Fax Number	:	501-219-1115

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. MAJID SALEEM
Credential	:	M.D.
Telephone Number	:	501-219-1114

Provider Enumeration Date	:	03/19/2013
Last Update Date	:	03/27/2024

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