Provider Demographics
NPI:1992765457
Name:ECHOLS, ANTHONY C
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:C
Last Name:ECHOLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-217-3533
Mailing Address - Fax:501-217-3578
Practice Address - Street 1:9500 BAPTIST HEALTH DR STE 210
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6343
Practice Address - Country:US
Practice Address - Phone:501-217-3533
Practice Address - Fax:501-217-3578
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90263363LF0000X
TX789876363LF0000X
ARA001486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200121860AMedicaid
TX281358YK5BMedicare PIN