# CONWAY PAIN CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457733057
- **Authorized official:** JEVIN ALLEN SMITH M.D. (ORGANIZER/ PRESIDENT)
- **Authorized official phone:** (501) 327-6665

## Contact information

- **Practice address:** 2425 PRINCE ST, SUITE 3, CONWAY, AR 72034-3746
- **Practice address phone:** (501) 358-6560
- **Practice address fax:** (877) 653-3202
- **Mailing address:** 2425 PRINCE ST, SUITE 3, CONWAY, AR 72034-3746
- **Mailing address phone:** (501) 358-6560
- **Mailing address fax:** (877) 653-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MC3115 | AR | Yes |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 03/30/2016