Graduated: 2003
NPI: 1023209012
Practice Locations (2)
ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC
1 CHILDRENS WAY
LITTLE ROCK, AR 722023500
5013642526
ARKANSAS DEPARTMENT OF HEALTH PAYROLL OFFICE
4815 W MARKHAM ST
LITTLE ROCK, AR 722053866
5016612000
Source: CMS National Downloadable File, September 2026.