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Contact Information

PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC
650 UNITED DR STE 340
CONWAY, AR72032-7826
 Phone: 501-358-6791
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC

NPI # 1265044119
LBN Legal business name PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC
Authorized official APRIL JOHNSON - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2020
Last updated 08/23/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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