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Contact Information

THOMAS W WALLACE, MD
10100 KANIS RD
LITTLE ROCK, AR72205-6202
 Phone: 501-255-6000
 Fax: 501-255-6400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THOMAS W WALLACE · (Male)

NPI Number 1295807733
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 06/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # E-6988
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK - (Acute Care)
    9601 INTERSTATE 630, EXIT 7
    LITTLE ROCK, AR 72205
  • BAPTIST HEALTH MEDICSL CENTER-ARKADELPHIA - (Critical Access)
    3050 TWIN RIVERS DRIVE
    ARKADELPHIA, AR 71923
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1600 WEST 40TH AVENUE
    PINE BLUFF, AR 71603
  • ST JOSEPHS MERCY HEALTH CENTER INC - (Acute Care)
    300 WERNER STREET
    HOT SPRINGS, AR 71903
  • ST VINCENT INFIRMARY MEDICAL CENTER - (Acute Care)
    TWO ST VINCENT CIRCLE
    LITTLE ROCK, AR 72205
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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