| Doctor Name: | MR. JEFF RYAN THOMAS |
| NPI Number: | 1013281609 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | PT1211 |
| Business Practice Address: | 4200 Stockton Dr North Little Rock, AR - 721172915 |
| Business Phone Number: | 5019452121 |
| Business Fax Number: | 5019559073 |
| Mailing Address: | 1300 Centerview Dr, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722114349 |
| Phone Number: | 5012198900 |
| Fax Number: | 5015371875 |
| NPI Enumeration Date: | 02/29/2012 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PT1211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |