OrganizationActive
Evergreen Internal Medicine PLLC
NPI 1801017595 · Primary Care Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1801017595
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Henry, Managing Member(501) 664-1540
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1100 N University Ave
Suite 125
Little Rock, AR 72207-6343
Phone: (501) 664-1540
Approximate (ZIP-level) locationGet directions
Mailing address
1100 N University Ave
Little Rock, AR 72207-6343
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2009-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.