Tommy Lee Fair in West Memphis - Nurse Anesthetist, Certified Registered

Tommy Lee Fair - NPI 1457317828

Tommy Lee Fair is a Nurse Anesthetist, Certified Registered in West Memphis, Arkansas. Tommy Lee Fair practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Tommy Lee Fair is 1457317828. The last update date is 2007-11-19.

Tommy Lee Fair's current location address is 200 W Tyler Ave, West Memphis, Arkansas. You can contact this provider via phone number 8707351500 and fax number 8707333861. The mailing address for Tommy Lee Fair is 200 W Tyler Ave, West Memphis, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommy Lee Fair
Address 200 W Tyler Ave, West Memphis, Arkansas
Phone Number 8707351500
Fax Number 8707333861
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1457317828
Provider Enumeration Date 2006-04-25
Last Updated Date 2007-11-19

Provider Mailing Address Detail

Address 200 W Tyler Ave
City West Memphis
State Arkansas (AR)
Post Code 723014223
Phone Number 8707351500
Fax Number 8707333861

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 12971
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19795701 AR --

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FAQs about Tommy Lee Fair

What is the unique 10-digit identifier code issued to Tommy Lee Fair by the Centers for Medicare & Medicaid Services?

The Tommy Lee Fair has been assigned the NPI (National Provider Identifier) 1457317828 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Tommy Lee Fair is physically located?

The Tommy Lee Fair is physically situated at the following address: 200 W Tyler Ave, West Memphis, AR, 723014223.

What is Tommy Lee Fair's area of expertise and its corresponding taxonomy classification?

The Tommy Lee Fair's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Tommy Lee Fair receive its 1457317828 assignment from the Centers for Medicare & Medicaid Services?

The Tommy Lee Fair was assigned its 1457317828 by the Centers for Medicare & Medicaid Services on 2006-04-25.

When was the information regarding Tommy Lee Fair, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tommy Lee Fair, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-19.

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