Thomas T Jefferson in Little Rock - General Practice
Thomas T Jefferson - NPI 1790891448
Thomas T Jefferson is a General Practice in Little Rock, Arkansas. Thomas T Jefferson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas T Jefferson is 1790891448. The last update date is 2023-05-26.
Thomas T Jefferson's current location address is 1100 N University Ave Ste 200, Little Rock, Arkansas. You can contact this provider via phone number 8887108220 and fax number 8665730761. The mailing address for Thomas T Jefferson is 1100 N University Ave Ste 200, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas T Jefferson |
|---|---|
| Address | 1100 N University Ave Ste 200, Little Rock, Arkansas |
| Phone Number | 8887108220 |
| Fax Number | 8665730761 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790891448 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2023-05-26 |
Provider Mailing Address Detail
| Address | 1100 N University Ave Ste 200 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722076360 |
| Phone Number | 8887108220 |
| Fax Number | 8665730761 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | C4604 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104422001 | AR | -- |
Post Comment/ Review Below
What is the Thomas T Jefferson's unique identification number?
The Thomas T Jefferson has been assigned the NPI (National Provider Identifier) Number 1790891448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Thomas T Jefferson located?
The Thomas T Jefferson is located at 1100 N University Ave Ste 200, Little Rock, AR 722076360.
What is the Thomas T Jefferson's area of specialization and corresponding taxonomy classification?
The Thomas T Jefferson's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas T Jefferson receive its 1790891448 assignment from the Centers for Medicare & Medicaid Services?
The Thomas T Jefferson was assigned its 1790891448 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details related to Thomas T Jefferson most recently updated or revised?
The information pertaining to Thomas T Jefferson, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-26.
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