Provider Demographics
NPI:1346285517
Name:PEARSON, HAROLD L (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:L
Last Name:PEARSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3211 SUGAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-9219
Mailing Address - Country:US
Mailing Address - Phone:870-772-4440
Mailing Address - Fax:870-772-7190
Practice Address - Street 1:3211 SUGAR HILL RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-9219
Practice Address - Country:US
Practice Address - Phone:870-772-4440
Practice Address - Fax:870-772-7190
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR-3917207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARD04838Medicare UPIN