NPI 1043612625
University of Arkansas at Pine Bluff
Practice location
- Address
- 1200 University Dr, Pine Bluff, AR 71601-2780
- Phone
- (870) 575-7230
- Mailing address
- 5050 Spring Valley Rd, Dallas, TX 75244-3995
Authorised official
- Name
- T.C. Shelton
- Title
- Head Athletics Trainer
- Phone
- (870) 575-7230
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1043612625
- Entity type
- Organization
- NPI issued
- 25 Sep 2014
- Record last updated
- 25 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.