Little Rock Cancer Clinic, P.A.

LBN: Little Rock Cancer Clinic, P.A.
Little Rock Cancer Clinic, P.A. is an health care organization with primary practice located at 500 S University Ave Suite 811, Little Rock AR 72205-5302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Little Rock Cancer Clinic, P.A. can be contacted via phone (501) 661-1822, or through Reyes, Luis via phone (501) 661-1822.

Contact Information

Primary practice address
500 S University Ave Suite 811 Little Rock AR 72205-5302
Fax: (501) 666-0266
Website:
Authorized official contact:
Name: Reyes, Luis

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1902832330
LBN Legal business name Little Rock Cancer Clinic, P.A.
DBA Doing business as
Authorized official Reyes, Luis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jan 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902832330 NPPES
Other 5239121 AETNA
MEDICAID 130483002 AETNA
Other 472130 AETNA
Other 1902832330 AETNA
Other 04D0922485 AETNA

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