Individual
THOMAS AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST # 567, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-17373
AR
207RG0100X
Gastroenterology Physician
Primary
E-17373
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
06/25/2024
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