Healthcare Provider Details

I. General information

NPI: 1114832862
Provider Name (Legal Business Name): PROFESSIONAL ANESTHESIA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 KANIS RD STE 200
LITTLE ROCK AR
72205-6358
US

IV. Provider business mailing address

400 NATURAL RESOURCES DR
LITTLE ROCK AR
72205-1501
US

V. Phone/Fax

Practice location:
  • Phone: 337-802-4014
  • Fax: 501-227-0744
Mailing address:
  • Phone: 337-802-4014
  • Fax: 501-227-0744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN K BROWN
Title or Position: MEMBER
Credential: CRNA
Phone: 337-802-4014