| Dr Willis Courtney Jr, MD | |
|
5100 West 12th Street, Little Rock, AR 72204 | |
| (501) 663-2200 | |
| (501) 663-7200 |
| Full Name | Dr Willis Courtney Jr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5100 West 12th Street, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467418228 | NPI | - | NPPES |
| 15303000000 | Other | AR | QUAL CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | C7679 (Arkansas) | Primary |
| Entity Name | Texoma Neurology Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669470092 PECOS PAC ID: 3971546177 Enrollment ID: O20050623000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Willis Courtney Jr, MD Po Box 56170, Little Rock, AR 72215 Ph: (501) 663-2200 | Dr Willis Courtney Jr, MD 5100 West 12th Street, Little Rock, AR 72204 Ph: (501) 663-2200 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11501 Huron Ln, Little Rock, AR 72211 Phone: 501-904-4762 |