MEDICARE: ARKANSAS PAIN CENTERS LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1548896798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS PAIN CENTERS LTD

Provider Business Mailing Address
First Line	:	PO BOX 308
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72033-0308
Country	:	US
Telephone Number	:	501-771-4370
Fax Number	:	501-327-9722

Provider Business Practice Location Address
First Line	:	1225 BRECKENRIDGE DR STE 106
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-1565
Country	:	US
Telephone Number	:	501-217-4000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BUTCHAIAH GARLAPATI
Credential	:	MD
Telephone Number	:	501-771-4370

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	04/27/2020

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Directions to “ARKANSAS PAIN CENTERS LTD ” Practice Location

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