Healthcare Provider Details

I. General information

NPI: 1255432878
Provider Name (Legal Business Name): GEORGE JOHN ARCOS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 DAVE WARD DR
CONWAY AR
72034-6967
US

IV. Provider business mailing address

5700 W MARKHAM ST
LITTLE ROCK AR
72205-3328
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-0184
  • Fax: 501-227-0187
Mailing address:
  • Phone: 501-227-0184
  • Fax: 501-227-0187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberE-18904
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: