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Organization

NASSRI PEDIATRICS AND PULMONOLOGY, LLC

Active
Other names
NP&P
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUAY K NASSRI MD (PEDIATRIC PULMONOLOGIST)
(479) 221-3732
Entity
Organization

Contact information

Practice address
9207 HIGHWAY 71 S, SUITE 9, FORT SMITH, AR 72916-9117
(479) 434-6140
(479) 434-6144
Mailing address
PO BOX 10718, FORT SMITH, AR 72917-0718
(479) 221-3732
(479) 649-8275

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R-2933
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100045000A
OK
05
105826001
AR
01
1881681799
NPI
AR
01
295507911001
BCBS
OK
01
53822
BCBS
AR
Enumeration date
11/01/2016
Last updated
11/02/2016
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