# PHOMAKAY PRIMARY CARE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1124466701
- **Authorized official:** CHANSAMONE M PHOMAKAY MD (OWNER)
- **Authorized official phone:** (479) 782-5500

## Contact information

- **Practice address:** 10301 MAYO DR, BARLING, AR 72923-1660
- **Practice address phone:** (479) 782-5500
- **Practice address fax:** (479) 782-5502
- **Mailing address:** PO BOX 10154, FORT SMITH, AR 72917-0154
- **Mailing address phone:** (479) 782-5500
- **Mailing address fax:** (479) 782-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-6214 | AR | Yes |

## Other

- **Enumeration date:** 06/05/2013
- **Last updated:** 11/27/2013