Organization
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KENT (CREDENTIALING DIRECTOR)
(501) 900-8770
Entity
Organization
Contact information
Practice address
609 FULTON ST, BLYTHEVILLE, AR 72315-1922
(844) 215-0731
(888) 630-8885
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
(501) 900-8770
(210) 526-3087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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