Debra Faulkner
Organization Active NPI Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · El Dorado, AR
NPI 1265620868 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1265620868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
- Legal business name
- DEBRA FAULKNER
- Practice address
- 3025 N Wyatt Dr
El Dorado, AR 71730-4189 - Phone
- (870) 310-0321
- Fax
- (870) 862-2074
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra Kay Faulkner, R.T.
- Title
- Owner
- Phone
- (870) 310-0321
Member of 1
Practitioners 2
-
Debra Kay Faulkner, R.T.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Yes |
Addresses
Primary practice location
3025 N Wyatt Dr
El Dorado, AR 71730-4189
Mailing address
3025 N Wyatt Dr
El Dorado, AR 71730-4189
Phone (870) 310-0321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140983710 | Medicaid | AR |
Other names
- Portable Imaging
Other providers in El Dorado, AR
- Frances Louise Davis
- Nicole Davis
- Steven Robert Davis
- Dayspring Services of Arkansas LLC
- Debra Faulkner
- Jacob A Defee
- Peggy A Defoure
- Joseph A Deluca
- Richard Edward Dietzen
- Rebekah Marie Dixon
All providers in El Dorado, AR · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.