Individual
THOMAS J BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1204 N WASHINGTON ST, FORREST CITY, AR 72335-2121
(870) 633-7742
(870) 633-9003
Mailing address
PO BOX 1617, FORREST CITY, AR 72336-1617
(870) 633-7742
(870) 633-9003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N5884
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50361
BCBS PROVIDER NUMBER
AR
Enumeration date
06/27/2006
Last updated
03/14/2008
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