| NPI | 1952877029 |
|---|---|
| Former Legal Business Name | PARAGOULD ALLERGY & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA M HENDRIX Chief Officer 870-236-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |