Healthcare Provider Details

I. General information

NPI: 1255306916
Provider Name (Legal Business Name): WILLIAM RICHARD PARRISH CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHOCTAW WAY
TALIHINA OK
74571-2022
US

IV. Provider business mailing address

4 RIBERA LN
HOT SPRINGS AR
71909-7790
US

V. Phone/Fax

Practice location:
  • Phone: 918-567-7140
  • Fax:
Mailing address:
  • Phone: 501-922-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberC00736
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: