NPI | 1376684183 |
---|---|
Doing Business As | PARAGOULD ALLERGY & WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | LISA MICHELLE HENDRIX Physician 870-236-3388 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR E-0966) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-11-14 |