Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | E-2327 | AR |
N | 2080P0216X | Pediatric Rheumatologist | E-2327 | AR |
NPI | 1346330834 |
---|---|
Provider Name | Terry Harville |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 05/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030004423 | RAILROAD MEDICARE (01) | AR |
127927001 | (05) | AR |
F40310 | (02) |