Healthcare Provider Details

I. General information

NPI: 1477952422
Provider Name (Legal Business Name): ARKANSAS NEUROSURGERY BRAIN & SPINE CLINIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 CANTRELL RD STE 265
LITTLE ROCK AR
72227
US

IV. Provider business mailing address

8201 CANTRELL RD STE 265
LITTLE ROCK AR
72227-2453
US

V. Phone/Fax

Practice location:
  • Phone: 501-661-0077
  • Fax: 501-664-2749
Mailing address:
  • Phone: 501-661-0077
  • Fax: 501-664-2749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT SCHLESINGER
Title or Position: OWNER
Credential: M.D.
Phone: 501-661-0077