# INTEGRATIVE ALLERGY & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paragould Allergy & Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952877029
- **Authorized official:** DR. LISA M HENDRIX MD (CHIEF OFFICER)
- **Authorized official phone:** (870) 236-3388

## Contact information

- **Practice address:** 2709 WEST KINGSHIGHWAY, STE 8, PARAGOULD, AR 72450-7245
- **Practice address phone:** (870) 236-3388
- **Practice address fax:** (870) 236-2656
- **Mailing address:** 2709 W KINGSHIGHWAY STE 8, PARAGOULD, AR 72450-2644
- **Mailing address phone:** (870) 236-3388
- **Mailing address fax:** (870) 236-2656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 10/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 130231001 | — | AR |