Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Arkansas Dermatology Clinic PA

Organization Dermatology Physician · NPI 1497713580

Arkansas Dermatology Clinic PA provides Dermatology Physician services in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

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

See every abbreviation used in this directory →

Practice location Address checks out

500 S University Ave Ste 704
Little Rock, AR 72205-5309 Not confirmed with CMS for 18 years — call before visiting
Phone: (501) 666-5451
Fax: (501) 663-3335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R2029 (AR)

Record details

NPI number1497713580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Raque — Physician Owner · (501) 666-5451
NPI enumeratedMay 1, 2006
Last updated in NPPESNovember 16, 2007
Mailing address500 South University Avenue, Suite 704, Little Rock, AR 72205-5309

Other providers in Little Rock