Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | J9961 | TX |
N | 207RP1001X | Pulmonary Disease | J9961 | TX |
NPI | 1063497634 |
---|---|
Provider Name | Dr. Christopher Arnold Bailey |
First Address | Texarkana, TX 75503-1495 |
Second Address | Texarkana, TX 75503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G20386 | (02) |