Individual
SAMUEL THOMAS RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 223-5757
(501) 223-5758
Mailing address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 223-5757
(501) 223-5758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-2209
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-2209
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137308001
—
AR
Enumeration date
06/06/2006
Last updated
05/04/2023
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