NPI 1558073403 · live from the CMS NPI Registry
Taylar Harris
Pediatrics, Developmental - Behavioral Pediatrics in Osceola, AR. National Provider Identifier 1558073403, active.
NPI record
| NPI | 1558073403 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 447 S Country Club Rd, Osceola, AR 72370 |
| Practice phone | 870-563-0199 |
| Enumerated | December 21, 2022 |
| Last updated | December 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | 46-1138880 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.