# ARKANSAS ALLERGY & ASTHMA CLINIC, PA

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

## Provider details

- **NPI number:** 1942321013
- **Authorized official:** TOMMY JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (501) 227-5210

## Contact information

- **Practice address:** 10310 W MARKHAM ST, SUITE 222, LITTLE ROCK, AR 72205-2175
- **Practice address phone:** (501) 227-5210
- **Practice address fax:** (501) 221-2443
- **Mailing address:** 2039 WEST MAIN STREET, SUITE C, CABOT, AR 72023
- **Mailing address phone:** (501) 227-5210
- **Mailing address fax:** (501) 221-2443

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020