Healthcare Provider Details
I. General information
NPI: 1639457690
Provider Name (Legal Business Name): PEDIATRIC ARRHYTHMIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2011
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 BROOKFORD DR
LITTLE ROCK AR
72211-5482
US
IV. Provider business mailing address
2001 BROOKFORD DR
LITTLE ROCK AR
72211-5482
US
V. Phone/Fax
- Phone: 501-650-6689
- Fax: 214-269-3327
- Phone: 501-650-6689
- Fax: 214-269-3327
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | E4216 |
| License Number State | AR |
VIII. Authorized Official
Name:
VOLKAN
TUZCU
Title or Position: OWNER
Credential: MD
Phone: 501-650-6689