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Contact Information

THOMAS R MOFFETT JR, MD
11300 N RODNEY PARHAM RD
SUITE 210
LITTLE ROCK, AR72212-4153
 Phone: 501-663-4100
 Fax: 501-663-4145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS R MOFFETT JR · (Male)

NPI # 1487655247
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 10/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # R4045
  • AR Medicaid 117396001
  • AR Other 11923000000 QUALCHOICE
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK - (Acute Care)
    9601 INTERSTATE 630, EXIT 7
    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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