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Individual

THOMAS ROSS BRASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15033 HIGHWAY 165, SCOTT, AR 72142-9555
(501) 552-7999
(501) 552-7998
Mailing address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-7999
(501) 552-7998

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5370
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102981001
AR
01
12321000000
QC
AR
01
428494
HEALTHLINK
AR
01
5397026
AETNA
AR
Enumeration date
07/14/2006
Last updated
07/19/2011
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