| Organization Name: | THE PAIN MEDICINE CONSULTANTS GROUP, P.A. |
| NPI Number: | 1871990937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E ACKERMAN (OWNER) |
| Mailing Address: | 2425 Dave Ward Dr Gordy Building Ste 102 Conway |
| State: | AR US |
| Postal Code: | 720348686 |
| Phone Number: | 5017641150 |
| Fax Number: | 5017641153 |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | E-0337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |