Individual
CESAR JONATHAN BAYLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3211 SUGAR HILRD L, TEXARKANA, AR 71854
(870) 584-2442
Mailing address
173 BEACON HILL RD, DE QUEEN, AR 71832
(870) 584-2442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00724
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118799701
—
AR
01
—
59796
AR BCBS
AR
Enumeration date
11/02/2005
Last updated
04/09/2008
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