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408 Office Park Dr Ste 3 Bryant AR 72022-7536 | |
| (856) 313-7911 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pain Medicine |
| Location | 408 Office Park Dr Ste 3, Bryant, Arkansas |
| Authorized Official Name and Position | Sameer Jain (PHYSICIAN) |
| Authorized Official Contact | 5015530000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8509 W Markham St P.o. Box 55006 Little Rock AR 72205-2432 Ph: (501) 553-0000 | 408 Office Park Dr Ste 3 Bryant AR 72022-7536 Ph: (856) 313-7911 |
| NPI Number | 1386482495 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 8325586704 |
|---|---|
| Medicare Enrollment ID | O20240816000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386482495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Sameer Jain |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1932548344 PECOS PAC ID: 8123391687 Enrollment ID: I20180611002361 |
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