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NPI Code Detail

MEDICARE: ARTHUR HOUSTON BURNS CRNA

MEDICARE: ARTHUR HOUSTON BURNS CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistC00792AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P00020588OTHERARRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245294313OTHERARUNITED HEALTHCARE
259865OTHERARBLUE CROSS BLUE SHIELD
31245294313OTHERARBAPTIST HEALTH SERVICES GROUP, INC
41245294313OTHERARTRICARE - SOUTH REGION
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245294313
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTHUR HOUSTON BURNS CRNA
Provider Business Mailing Address
First Line : PO BOX 771522
Second Line :
City : MEMPHIS
State : TN
Zip : 38177-1522
Country : US
Telephone Number : 901-747-4624
Fax Number : 901-261-2542
Provider Business Practice Location Address
First Line : 1801 MARTIN LUTHER KING JR DR
Second Line :
City : HELENA
State : AR
Zip : 72342-8998
Country : US
Telephone Number : 870-816-3780
Fax Number : 870-816-3909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 10/06/2014

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Directions to “ ARTHUR HOUSTON BURNS CRNA” Practice Location

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