Healthcare Provider Details
I. General information
NPI: 1811921588
Provider Name (Legal Business Name): ARKANSAS HYPERBARIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 ST VINCENT CIR
LITTLE ROCK AR
72205
US
IV. Provider business mailing address
400 EDGEWOOD DR
MAUMELLE AR
72113
US
V. Phone/Fax
- Phone: 801-552-2660
- Fax:
- Phone: 501-851-3883
- Fax: 501-851-3836
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0005X |
| Taxonomy | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LESLIE
H
SESSIONS
Title or Position: PRESIDENT
Credential: MD
Phone: 501-851-3883