Organization
NASSRI PEDIATRICS AND PULMONOLOGY, LLC
Active
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
Update your record
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