Healthcare Provider Details

I. General information

NPI: 1194659862
Provider Name (Legal Business Name): SHERRY ABADER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 AURIEL DR
LITTLE ROCK AR
72223-9111
US

IV. Provider business mailing address

PO BOX 241296
LITTLE ROCK AR
72223-0005
US

V. Phone/Fax

Practice location:
  • Phone: 832-276-6802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERRY ABADER
Title or Position: SOLE MBR
Credential:
Phone: 870-729-1020