# JACK STEPHENS HEART INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Vincent Cardiovascular Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033404199
- **Authorized official:** MR. PETER BANKO (CEO/PRESIDENT)
- **Authorized official phone:** (501) 552-3922

## Contact information

- **Practice address:** 5 ST. VINCENT CIRCLE, STE 501, LITTLE ROCK, AR 72205-5414
- **Practice address phone:** (501) 666-2894
- **Practice address fax:** (501) 666-9017
- **Mailing address:** 5 ST. VINCENT CIRCLE, STE 501, LITTLE ROCK, AR 72205-5414
- **Mailing address phone:** (501) 666-2894
- **Mailing address fax:** (501) 666-9017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | AR | Yes |

## Other

- **Enumeration date:** 06/16/2011
- **Last updated:** 02/09/2012