Healthcare Provider Details

I. General information

NPI: 1063339000
Provider Name (Legal Business Name): INFUSION PHYSICIAN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 N RODNEY PARHAM RD STE A5
LITTLE ROCK AR
72212-4159
US

IV. Provider business mailing address

PO BOX 21614
LITTLE ROCK AR
72221-1614
US

V. Phone/Fax

Practice location:
  • Phone: 501-500-9882
  • Fax:
Mailing address:
  • Phone: 501-500-9882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LEE JOHNSON
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 501-500-9882