| The Vein Center | |
|
11219 Financial Centre Pkwy Suite 215 Little Rock AR 72211-3800 | |
| (501) 225-8346 | |
| (501) 217-9819 |
| Full Name | The Vein Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11219 Financial Centre Pkwy, Little Rock, Arkansas |
| Authorized Official Name and Position | Michael J Long (OWNER) |
| Authorized Official Contact | 5012258346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Vein Center 11219 Financial Centre Pkwy Suite 215 Little Rock AR 72211-3800 Ph: (501) 225-8346 | The Vein Center 11219 Financial Centre Pkwy Suite 215 Little Rock AR 72211-3800 Ph: (501) 225-8346 |
| NPI Number | 1104084599 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084599 | NPI | - | NPPES |
| 168208002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | E-2576 (Arkansas) | Primary |
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