Provider Demographics
NPI:1568985240
Name:B&T ADVANCED HEALTH, PLLC
Entity Type:Organization
Organization Name:B&T ADVANCED HEALTH, PLLC
Other - Org Name:BRYANT FAMILY MANAGED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-847-2835
Mailing Address - Street 1:408 OFFICE PARK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7536
Mailing Address - Country:US
Mailing Address - Phone:501-847-2835
Mailing Address - Fax:501-847-3802
Practice Address - Street 1:408 OFFICE PARK DR STE 3
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7536
Practice Address - Country:US
Practice Address - Phone:501-847-2835
Practice Address - Fax:501-847-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004140363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty