Healthcare Provider Details

I. General information

NPI: 1073509956
Provider Name (Legal Business Name): NEESA J MCCOLLUM FLAXMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 CANTRELL RD STE 250
LITTLE ROCK AR
72227-2503
US

IV. Provider business mailing address

8201 CANTRELL RD STE 250
LITTLE ROCK AR
72227-2503
US

V. Phone/Fax

Practice location:
  • Phone: 501-466-7246
  • Fax: 501-456-7246
Mailing address:
  • Phone: 501-466-7246
  • Fax: 501-456-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberE-2798
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE-2798
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: