Provider Demographics
NPI:1477952422
Name:ARKANSAS NEUROSURGERY BRAIN & SPINE CLINIC P.A.
Entity Type:Organization
Organization Name:ARKANSAS NEUROSURGERY BRAIN & SPINE CLINIC P.A.
Other - Org Name:LEGACY NEUROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-661-0077
Mailing Address - Street 1:8201 CANTRELL RD
Mailing Address - Street 2:STE 265
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2453
Mailing Address - Country:US
Mailing Address - Phone:501-661-0077
Mailing Address - Fax:501-664-2749
Practice Address - Street 1:8201 CANTRELL RD
Practice Address - Street 2:STE 265
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227
Practice Address - Country:US
Practice Address - Phone:501-661-0077
Practice Address - Fax:501-664-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies