Individual
MR. THOMAS DARRELL CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10001 LILE DRIVE, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 320-1682
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 320-1682
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C4920
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103645001
—
AR
01
—
110053662
RAILROAD MEDICARE
AR
01
—
50846
MEDICARE
AR
01
—
686809
MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
AR
Enumeration date
01/25/2006
Last updated
04/17/2019
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