Doctor Name: | THOMAS L EANS |
NPI Number: | 1164405890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C5049 |
Business Practice Address: | 11749 Maumelle Boulevard North Little Rock, AR - 721131893 |
Business Phone Number: | 5016633732 |
Business Fax Number: | 5016630076 |
Mailing Address: | 11749 Maumelle Boulevard, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721131893 |
Phone Number: | 5016633732 |
Fax Number: | 5016630076 |
NPI Enumeration Date: | 11/28/2005 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C5049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |