Provider Demographics
NPI:1245294313
Name:BURNS, ARTHUR HOUSTON (CRNA)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:HOUSTON
Last Name:BURNS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 771522
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38177-1522
Mailing Address - Country:US
Mailing Address - Phone:901-747-4624
Mailing Address - Fax:901-261-2542
Practice Address - Street 1:1801 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-8998
Practice Address - Country:US
Practice Address - Phone:870-816-3780
Practice Address - Fax:870-816-3909
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC00792367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1245294313OtherUNITED HEALTHCARE
AR59865OtherBLUE CROSS BLUE SHIELD
AR1245294313OtherBAPTIST HEALTH SERVICES GROUP, INC
AR1245294313OtherTRICARE - SOUTH REGION
AR124750701Medicaid
ARP00020588OtherRAILROAD MEDICARE
AR59865OtherBLUE CROSS BLUE SHIELD