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NPI Code Detail

MEDICARE: DR. THOMAS BYRON SNEED M.D.

MEDICARE: DR. THOMAS BYRON SNEED 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
1173000000XLegal MedicineE3937AR
2174400000XSpecialistE3937AR
3207RH0003XHematology & Oncology PhysicianE-3937AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E3937OTHERARLICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053317941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS BYRON SNEED M.D.
Provider Business Mailing Address
First Line : PO BOX 55050
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5050
Country : US
Telephone Number : 501-219-8777
Fax Number : 501-907-6522
Provider Business Practice Location Address
First Line : 8901 CARTI WAY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6523
Country : US
Telephone Number : 501-219-8777
Fax Number : 501-907-6522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 03/30/2022

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