Organization Name: | EPOCH HEALTH- LITTLE ROCK, PLLC |
NPI Number: | 1861817298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GREENE (AUTHORIZED OFFICIAL) |
Mailing Address: | 801 S. Bowman Road Suite 3 Little Rock |
State: | AR US |
Postal Code: | 72211 |
Phone Number: | 5019450680 |
Fax Number: | 5019454179 |
NPI Enumeration Date: | 02/21/2014 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |