Healthcare Provider Details

I. General information

NPI: 1750753224
Provider Name (Legal Business Name): ERICK MESSIAS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 FOXCROFT RD SUITE 311A
LITTLE ROCK AR
72227-2455
US

IV. Provider business mailing address

14 RIDGEVIEW CT
LITTLE ROCK AR
72227-2360
US

V. Phone/Fax

Practice location:
  • Phone: 501-773-9439
  • Fax: 877-726-1180
Mailing address:
  • Phone: 501-773-9439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberE-6367
License Number StateAR

VIII. Authorized Official

Name: DR. ERICK MESSIAS
Title or Position: OWNER
Credential: MD
Phone: 501-773-9439