Healthcare Provider Details

I. General information

NPI: 1437580503
Provider Name (Legal Business Name): EPOCH HEALTH- NORTH LITTLE ROCK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4617 E MCCAIN BLVD
NORTH LITTLE ROCK AR
72117-2904
US

IV. Provider business mailing address

PO BOX 479
BRYANT AR
72089-0479
US

V. Phone/Fax

Practice location:
  • Phone: 501-945-0680
  • Fax:
Mailing address:
  • Phone: 501-246-3423
  • Fax: 501-613-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM J COLE
Title or Position: AUTHORIZED OFFICIAL & OWNER
Credential:
Phone: 318-834-5225