Healthcare Provider Details

I. General information

NPI: 1588265003
Provider Name (Legal Business Name): BRITTANY BARBER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 03/18/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 W COLLIN RAYE DR
DE QUEEN AR
71832-2946
US

IV. Provider business mailing address

1357 W COLLIN RAYE DR
DE QUEEN AR
71832-2946
US

V. Phone/Fax

Practice location:
  • Phone: 870-642-2000
  • Fax: 870-642-2005
Mailing address:
  • Phone: 870-642-2000
  • Fax: 870-642-2005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAYLA CONNOR
Title or Position: OFFICE MANAGER
Credential:
Phone: 870-557-0690