Healthcare Provider Details

I. General information

NPI: 1366464711
Provider Name (Legal Business Name): JAMES T HOWELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 OLD GREENWOOD RD
FORT SMITH AR
72903-5462
US

IV. Provider business mailing address

PO BOX 3528
FORT SMITH AR
72913-3528
US

V. Phone/Fax

Practice location:
  • Phone: 479-452-2077
  • Fax:
Mailing address:
  • Phone: 479-452-2077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberC-4389
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: