Organization
TAD TILLEMANS, P.A.
Active
Organization
TAD TILLEMANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD TILLEMANS M.D. (PRESIDENT)
(501) 660-6644
Entity
Organization
Contact information
Practice address
2801 LEE AVE, LITTLE ROCK, AR 72205-4327
(501) 660-6644
Mailing address
2801 LEE AVE, LITTLE ROCK, AR 72205-4327
(501) 660-6644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E2889
AR
Other
Enumeration date
10/06/2008
Last updated
01/21/2009
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