Rayburn, Samuel Thomas

Rayburn, Samuel Thomas is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Rayburn, Samuel Thomas can be contacted via phone (501) 223-5757.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Phone: (501) 223-5757
Fax: (501) 223-5758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-2209 Arkansas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X E-2209 Arkansas

Profile Details

NPI number 1629017587
LBN Legal business name Rayburn, Samuel Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 4th, 2023 - about 3 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 1629017587 NPPES
Arkansas MEDICAID 137308001

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