Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Clinic, PA

Organization Pediatric Adolescent Medicine Physician · NPI 1255395950

Children's Clinic, PA is a Pediatric Adolescent Medicine Physician in Pine Bluff, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1420 W 43rd Ave
Pine Bluff, AR 71603-7010
Phone: (870) 534-6210
Fax: (870) 534-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1255395950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Horace Green — Physician · (870) 534-6210
NPI enumeratedApril 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1420 W 43rd Ave, Pine Bluff, AR 71603-7010

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