Healthcare Provider Details
I. General information
NPI: 1255397337
Provider Name (Legal Business Name): NEUROSCIENCE ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2006
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5201 NORTHSHORE DR SUITE 100
NORTH LITTLE ROCK AR
72118-5312
US
IV. Provider business mailing address
5201 NORTHSHORE DR SUITE 100
NORTH LITTLE ROCK AR
72118-5312
US
V. Phone/Fax
- Phone: 501-225-0880
- Fax: 501-225-5694
- Phone: 501-225-0880
- Fax: 501-225-5694
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NEAL
BEST
Title or Position: PRACTICE MANAGER
Credential:
Phone: 501-225-0880