MEDICARE: DR. THOMAS STUART HARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	C-3348	AR

General Provider Information

NPI Number	:	1588658629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS STUART HARRIS M.D.

Provider Business Mailing Address
First Line	:	38 MASTERS PLACE DR
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7019
Country	:	US
Telephone Number	:	501-295-3236
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 MASTERS PLACE DR
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7019
Country	:	US
Telephone Number	:	501-295-3236
Fax Number	:	501-295-3236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2005
Last Update Date	:	03/19/2015

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