Organization
LITTLE ROCK PAIN & REHABILITATION CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA K PONDEXTER HUNTER M.D. (OWNER/MEDICAL DIRECTOR)
(501) 225-6900
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE STE 318, LITTLE ROCK, AR 72205-5305
(501) 225-6900
(501) 225-6911
Mailing address
500 S UNIVERSITY AVE STE 318, LITTLE ROCK, AR 72205-5305
(501) 225-6900
(501) 225-6911
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
E4522
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G534
MEDICARE PTAN
AR
01
—
5N395
MEDICARE ID
AR
Enumeration date
07/21/2010
Last updated
07/31/2023
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