Organization
INTEGRATIVE ALLERGY & WELLNESS
Active
Other names
Paragould Allergy & Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M HENDRIX MD (CHIEF OFFICER)
(870) 236-3388
Entity
Organization
Contact information
Practice address
2709 WEST KINGSHIGHWAY, STE 8, PARAGOULD, AR 72450-7245
(870) 236-3388
(870) 236-2656
Mailing address
2709 W KINGSHIGHWAY STE 8, PARAGOULD, AR 72450-2644
(870) 236-3388
(870) 236-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130231001
—
AR
Enumeration date
10/16/2018
Last updated
10/16/2018
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