Healthcare Provider Details

I. General information

NPI: 1780151738
Provider Name (Legal Business Name): ARKANSAS PAIN CARE CLINICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S SHACKLEFORD RD
LITTLE ROCK AR
72211-5725
US

IV. Provider business mailing address

300 S SHACKLEFORD RD
LITTLE ROCK AR
72211-5725
US

V. Phone/Fax

Practice location:
  • Phone: 501-918-9192
  • Fax:
Mailing address:
  • Phone: 501-918-9192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ARSHAD
Title or Position: OWNER
Credential: MD
Phone: 501-918-9192