Provider Demographics
NPI:1487067849
Name:NEUROLOGY OF ARKANSAS PA
Entity type:Organization
Organization Name:NEUROLOGY OF ARKANSAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-945-4710
Mailing Address - Street 1:PO BOX 16563
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72231-6563
Mailing Address - Country:US
Mailing Address - Phone:501-945-4710
Mailing Address - Fax:
Practice Address - Street 1:2400 CRESTWOOD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7067
Practice Address - Country:US
Practice Address - Phone:501-945-4710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center