Individual
DR. THOMAS BENJAMIN DE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2707 MARKET TRCE, FORT SMITH, AR 72908-8694
(479) 434-3600
(833) 992-0797
Mailing address
2707 MARKET TRCE, FORT SMITH, AR 72908-8694
(479) 434-3600
(833) 992-0797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27166
OK
207Q00000X
Family Medicine Physician
E-6411
AR
208VP0014X
Interventional Pain Medicine Physician
Primary
E-6411
AR
Other
Enumeration date
08/13/2007
Last updated
03/20/2025
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