Organization
H & B MOBILE X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL HALLIBURTON RRT (OWNER)
(479) 968-4273
Entity
Organization
Contact information
Practice address
3205 WEST MAIN, RUSSELLVILLE, AR 72801
(479) 968-4273
(479) 968-1363
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19811
ARK BLUECROSS
AR
Enumeration date
03/24/2006
Last updated
08/22/2020
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