Organization
HARRIS AND THEODORE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY HEATH HARRIS CRNA (CEO/CRNA)
(501) 701-0781
Entity
Organization
Contact information
Practice address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 332-7357
Mailing address
PO BOX 20468, HOT SPRINGS, AR 71903-0468
(501) 701-0781
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02838
AR
Other
Enumeration date
09/19/2012
Last updated
10/02/2012
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