NPI 1124510250 · live from the CMS NPI Registry
Thomas Augustine
Internal Medicine, Gastroenterology in Little Rock, AR. National Provider Identifier 1124510250, active.
NPI record
| NPI | 1124510250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4301 W Markham St # 567, Little Rock, AR 72205 |
| Practice phone | 501-686-8000 |
| Mailing address | 4301 W Markham St # 783, Little Rock, AR 72205 |
| Enumerated | June 4, 2018 |
| Last updated | June 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | E-17373 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | E-17373 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.