Healthcare Provider Details

I. General information

NPI: 1659529238
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF ARKANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 01/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 MABELVALE PLAZA DRIVE SUITE 3
LITTLE ROCK AR
72209
US

IV. Provider business mailing address

5080 SPECTRUM DR SUITE 1200W
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 501-568-7868
  • Fax: 501-568-3035
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT CARLE
Title or Position: PRESIDENT
Credential: MD
Phone: 800-232-3550