Healthcare Provider Details

I. General information

NPI: 1760649388
Provider Name (Legal Business Name): DONALD CRABTREE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 PIPER ST STE L
HOT SPRINGS AR
71901-8263
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-0018
  • Fax: 501-463-6326
Mailing address:
  • Phone: 501-651-0018
  • Fax: 501-463-6326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberE-8972
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberE-8972
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE-8972
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: