Barbara Graves Intimate Fashions
Organization Active NPI Prosthetic/Orthotic Supplier · Little Rock, AR
NPI 1154322261 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154322261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 02063560001 (AR)
- Legal business name
- BARBARA GRAVES INTIMATE FASHIONS
- Practice address
- 10301 N Rodney Parham Rd
Little Rock, AR 72227-4832 - Phone
- (501) 227-5537
- Fax
- (501) 227-0655
- NPI assigned
- Aug 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Trina Brickey
- Title
- Store Manager
- Phone
- (501) 227-5537
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 02063560001 | AR | Yes |
Addresses
Primary practice location
10301 N Rodney Parham Rd
Little Rock, AR 72227-4832
Mailing address
10301 N Rodney Parham Rd
Little Rock, AR 72227-4832
Phone (501) 227-5537
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47917 | Other | AR | PROVIDER NUMBER |
Other providers in Little Rock, AR
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- Baptist Health Vigilant LLC
- Baptist Medcare, Inc
- Jasmine Barada
- Bianca Terese Baratti Vaughan
- Luke Barbara
- Nakisha Tywan Barbee
- Lisa Barber-Martin
- Alexandria Nicole Barber
- Jeffrey L Barber
All providers in Little Rock, AR · Prosthetic/Orthotic Supplier in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.