Healthcare Provider Details

I. General information

NPI: 1982999595
Provider Name (Legal Business Name): CYPRESS SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N RODNEY PARHAM RD SUITE 200
LITTLE ROCK AR
72212-4140
US

IV. Provider business mailing address

2200 N RODNEY PARHAM RD SUITE 200
LITTLE ROCK AR
72212-4140
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-8000
  • Fax: 501-219-9144
Mailing address:
  • Phone: 501-219-8000
  • Fax: 501-219-9144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SPANN
Title or Position: OWNER
Credential: MD
Phone: 501-219-8000