| James R Thrasher Md | |
|
11400 Huron Lane 11400 Huron Lane Little Rock AR 72211-1847 | |
| (501) 666-3666 | |
| (501) 907-9069 |
| Full Name | James R Thrasher Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 11400 Huron Lane, Little Rock, Arkansas |
| Authorized Official Name and Position | James Randall Thrasher (PRESIDENT) |
| Authorized Official Contact | 5016663666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Thrasher Md 11400 Huron Lane Little Rock AR 72211-1847 Ph: (501) 666-3666 | James R Thrasher Md 11400 Huron Lane 11400 Huron Lane Little Rock AR 72211-1847 Ph: (501) 666-3666 |
| NPI Number | 1952637951 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 4486797222 |
|---|---|
| Medicare Enrollment ID | O20100202000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952637951 | NPI | - | NPPES |
| 136677001 | Medicaid | AR | |
| 148127002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | James R Thrasher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841250875 PECOS PAC ID: 7911945803 Enrollment ID: I20100202000796 |
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