Organization
ARKANSAS ASTHMA AND LUNG, INC LLC
Active
Other names
Arkansas Comprensive Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DIAZ (CEO)
(501) 565-5701
Entity
Organization
Contact information
Practice address
8625 W MARKHAM ST, SUITE C, LITTLE ROCK, AR 72205-2312
(501) 223-3889
Mailing address
4 BARBER CT, MAUMELLE, AR 72113-6491
(501) 565-5701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176713742
—
AR
Enumeration date
06/18/2010
Last updated
06/18/2010
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