IndividualActive
Thomas Wallace, MD
NPI 1295807733 · Clinical Cardiac Electrophysiology Physician · Little Rock, AR
Provider details
- NPI number
- 1295807733
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-6988 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10100 Kanis Rd
Little Rock, AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Approximate (ZIP-level) locationGet directions
Mailing address
1807 Shadow Ln
Little Rock, AR 72207-2015
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2016-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.