Provider Demographics
NPI:1053317941
Name:SNEED, THOMAS BYRON (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BYRON
Last Name:SNEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55050
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-5050
Mailing Address - Country:US
Mailing Address - Phone:501-219-8777
Mailing Address - Fax:501-907-6522
Practice Address - Street 1:8901 CARTI WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6523
Practice Address - Country:US
Practice Address - Phone:501-219-8777
Practice Address - Fax:501-907-6522
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3937173000000X, 174400000X
ARE-3937207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No173000000XOther Service ProvidersLegal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE3937OtherLICENSE NUMBER
AR154811001Medicaid
AR313892YKTRMedicare PIN
ARI08453Medicare UPIN