Individual
THOMAS LOUIE EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PHILLIPS PLACE, HUNTSVILLE, AR 72740
(479) 738-1700
(479) 738-5510
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
(479) 738-1700
(479) 738-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6312
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183145001
—
AR
Enumeration date
01/03/2007
Last updated
12/14/2015
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