Provider Demographics
NPI:1821972225
Name:PAIN TREATMENT CENTERS OF AMERICA PLLC
Entity type:Organization
Organization Name:PAIN TREATMENT CENTERS OF AMERICA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-215-0731
Mailing Address - Street 1:PO BOX 23120
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-3120
Mailing Address - Country:US
Mailing Address - Phone:501-900-8770
Mailing Address - Fax:210-526-3087
Practice Address - Street 1:4318 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-9487
Practice Address - Country:US
Practice Address - Phone:844-215-0731
Practice Address - Fax:888-630-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies