Provider Demographics
NPI:1619219433
Name:ADVANCED SPINE AND PAIN CENTERS, INC.
Entity Type:Organization
Organization Name:ADVANCED SPINE AND PAIN CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-219-1114
Mailing Address - Street 1:11220 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4492
Mailing Address - Country:US
Mailing Address - Phone:501-219-1114
Mailing Address - Fax:501-219-1115
Practice Address - Street 1:11220 EXECUTIVE CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4492
Practice Address - Country:US
Practice Address - Phone:501-219-1114
Practice Address - Fax:501-219-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain