Provider Demographics
NPI:1922000231
Name:PEVAHOUSE, JOE B (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:B
Last Name:PEVAHOUSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9601 LILE DRIVE STE 350
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-664-9881
Mailing Address - Fax:501-664-1371
Practice Address - Street 1:9601 BAPTIST HEALTH DR STE 400
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6399
Practice Address - Country:US
Practice Address - Phone:501-224-2141
Practice Address - Fax:015-224-0506
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2019-05-02
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Provider Licenses
StateLicense IDTaxonomies
ARN6511207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology