Healthcare Provider Details

I. General information

NPI: 1528645660
Provider Name (Legal Business Name): JOSHUA DAVID ESTES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 WILDWOOD AVE
SHERWOOD AR
72120-5074
US

IV. Provider business mailing address

5 SAMS CV
LITTLE ROCK AR
72223-2165
US

V. Phone/Fax

Practice location:
  • Phone: 501-944-8677
  • Fax:
Mailing address:
  • Phone: 501-944-8677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberE-19296
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: