Healthcare Provider Details

I. General information

NPI: 1720037963
Provider Name (Legal Business Name): O'BRIAN HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N UNIVERSITY AVE STE 66
LITTLE ROCK AR
72207-6300
US

IV. Provider business mailing address

117 PIPER ST STE G
HOT SPRINGS AR
71901-8263
US

V. Phone/Fax

Practice location:
  • Phone: 501-570-0461
  • Fax: 501-570-0592
Mailing address:
  • Phone: 501-321-9461
  • Fax: 501-321-9552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMG00713
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number003600
License Number StateAR

VIII. Authorized Official

Name: DOUGLAS O GREEN
Title or Position: OWNER
Credential:
Phone: 501-321-9461