Individual
T. GLENN PAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E-0215
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14024000000
QUALCHOICE
AR
01
—
5J472
BCBS
AR
01
—
P00020504
RAILROAD MEDICARE2
AR
Enumeration date
10/13/2006
Last updated
01/08/2008
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