Healthcare Provider Details

I. General information

NPI: 1487576997
Provider Name (Legal Business Name): ARKANSAS SURGICAL HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 NORTHSHORE DR STE 500
NORTH LITTLE ROCK AR
72118-5312
US

IV. Provider business mailing address

5201 NORTHSHORE DR STE 500
NORTH LITTLE ROCK AR
72118-5312
US

V. Phone/Fax

Practice location:
  • Phone: 501-748-8000
  • Fax:
Mailing address:
  • Phone: 501-748-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER BRIAN FOWLER
Title or Position: CEO
Credential:
Phone: 501-748-8089