Organization
ARKANSAS LUNG CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBAYO FASANYA MD (CEO)
(479) 208-4601
Entity
Organization
Contact information
Practice address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
(833) 764-3814
Mailing address
4300 GRAND AVE, FORT SMITH, AR 72904-7028
(479) 208-4601
(833) 764-3814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/07/2023
Last updated
04/20/2026
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