Houston, Samuel Thomas

Houston, Samuel Thomas is an sole proprietor health care provider with primary practice located at 704 W Grove St Suite 4, El Dorado AR 71730-4416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Houston, Samuel Thomas can be contacted via phone (870) 863-4511.

Contact Information

Primary practice address
704 W Grove St Suite 4 El Dorado AR 71730-4416
Phone: (870) 863-4511
Fax: (870) 863-4525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R4005 Arkansas

Profile Details

NPI number 1871560573
LBN Legal business name Houston, Samuel Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Mar 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871560573 NPPES
Arkansas Other 4207224 AETNA
Arkansas Other 129320000 AETNA
Arkansas MEDICAID 119065001 AETNA

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