| Integrative Allergy & Wellness | |
|
2709 West Kingshighway, Ste 8 Paragould AR 72450-7245 | |
| (870) 236-3388 | |
| (870) 236-2656 |
| Full Name | Integrative Allergy & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 2709 West Kingshighway, Ste 8, Paragould, Arkansas |
| Authorized Official Name and Position | Lisa M Hendrix (CHIEF OFFICER) |
| Authorized Official Contact | 8702363388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Allergy & Wellness 2709 W Kingshighway Ste 8 Paragould AR 72450-2644 Ph: (870) 236-3388 | Integrative Allergy & Wellness 2709 West Kingshighway, Ste 8 Paragould AR 72450-7245 Ph: (870) 236-3388 |
| NPI Number | 1952877029 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 2466785654 |
|---|---|
| Medicare Enrollment ID | O20190603001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952877029 | NPI | - | NPPES |
| 130231001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Lisa Hendrix |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497833610 PECOS PAC ID: 3678566023 Enrollment ID: I20040403000149 |
| Provider Name | Amanda Lois Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
| Provider Name | Leah M Gathright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538729116 PECOS PAC ID: 8729432091 Enrollment ID: I20230921000502 |
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