Individual
DR. THOMAS EDWARD CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
611 COURT ST, SUITE 4, CONWAY, AR 72032-5446
(501) 358-4894
(501) 358-4891
Mailing address
611 COURT ST, SUITE 4, CONWAY, AR 72032-5446
(501) 358-4894
(501) 358-4891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1569
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142756718
—
AR
01
—
21462
MEDICARE PTAN
WY
Enumeration date
02/15/2006
Last updated
07/08/2008
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