Individual
DR. GAIL L. EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 568, LITTLE ROCK, AR 72205-7101
(501) 526-8200
(501) 526-8299
Mailing address
4301 W MARKHAM ST # 568, LITTLE ROCK, AR 72205-7101
(501) 526-8200
(501) 526-8299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C-5565
AR
2084P0800X
Psychiatry Physician
H3027
TX
2084P0804X
Child & Adolescent Psychiatry Physician
C-5565
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1280034-01
—
TX
01
—
260045289
RR/MEDICARE
TX
01
—
87437Y
BLUE SHIELD
TX
Enumeration date
03/22/2006
Last updated
11/16/2010
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