# ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003877853
- **Authorized official:** PAM WELLS (ADMINISTRATOR)
- **Authorized official phone:** (501) 227-5210

## Contact information

- **Practice address:** 5 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211-4375
- **Practice address phone:** (501) 227-5210
- **Practice address fax:** (501) 312-1592
- **Mailing address:** PO BOX 55090, LITTLE ROCK, AR 72215-5090
- **Mailing address phone:** (501) 227-5210
- **Mailing address fax:** (501) 312-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 03/06/2019