NPI 1255395950

Children's Clinic, P.A.

Organisation Pediatric Adolescent Medicine Physician Pine Bluff, AR

Practice location

Address: 1420 W 43rd Ave, Pine Bluff, AR 71603-7010
Phone: (870) 534-6210
Fax: (870) 534-8620

Authorised official

Name: Horace L Green
Title: Physician
Phone: (870) 534-6210

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X

Other Pediatrics providers in Arkansas →

Registry record

NPI: 1255395950
Entity type: Organization
NPI issued: 12 Apr 2006
Record last updated: 22 Aug 2020

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.