# S. THOMAS RAYBURN III, MD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740550805
- **Authorized official:** DR. SAMUEL THOMAS RAYBURN M.D. (PRESIDENT)
- **Authorized official phone:** (501) 223-5757

## Contact information

- **Practice address:** 9601 BAPTIST HEALTH DR, STE. 570, LITTLE ROCK, AR 72205-6321
- **Practice address phone:** (501) 223-5757
- **Practice address fax:** (501) 223-5758
- **Mailing address:** 9601 BAPTIST HEALTH DR, STE. 570, LITTLE ROCK, AR 72205-6321
- **Mailing address phone:** (501) 223-5757
- **Mailing address fax:** (501) 223-5758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | E2209 | AR | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012