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Contact Information

ARKANSAS PEDIATRIC CLINIC, PLLC
1412 WOODLAND DR
BRYANT, AR72022-3050
 Phone: 501-664-4117
 Fax: 501-664-1137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ARKANSAS PEDIATRIC CLINIC, PLLC

NPI Number 1417316894
LBN Legal business name ARKANSAS PEDIATRIC CLINIC, PLLC
Authorized official PATRICIA PARSONS - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2016
Last updated 05/18/2021 - About 5 years ago
Identifiers
AR Medicaid 213058002
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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