Healthcare Provider Details

I. General information

NPI: 1841250875
Provider Name (Legal Business Name): JAMES RANDALL THRASHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES R THRASHER MD

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 HURON LN
LITTLE ROCK AR
72211-1847
US

IV. Provider business mailing address

11400 HURON LN
LITTLE ROCK AR
72211-1847
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-3666
  • Fax: 501-907-9069
Mailing address:
  • Phone: 501-666-3666
  • Fax: 501-907-9069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberE-1678
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: