Individual
JACOB THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-10140
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2014
Last updated
01/26/2017
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