Cavhs

Specialty details in registry · North Little Rock, AR

Call (501) 257-3469 Directions

At a glance

2220 Ft Roots Drive, North Little Rock, AR 72114-1706

NPPES record updated Dec 8, 2008. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2220 Ft Roots Drive
North Little Rock, AR 72114-1706
Professional details: NPI, taxonomy & registry record
NPI1760627640
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Dec 8, 2008
Record updated
Dec 8, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

313M00000X

License reported: CERT. ID # 22745 NY

Specialty details in registry

314000000X · Primary

License reported: 22745 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2220 Ft Roots Drive
North Little Rock, AR 72114-1706
Phone
(501) 257-3469
Mailing address
2220 FT. ROOTS DRIVE 116B NLR

NORTH LITTLE ROCK, AR 721141706
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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