Healthcare Provider Details

I. General information

NPI: 1548899289
Provider Name (Legal Business Name): DR. MARC DAOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARSON ST
JONESBORO AR
72401-3104
US

IV. Provider business mailing address

300 CARSON ST
JONESBORO AR
72401-3104
US

V. Phone/Fax

Practice location:
  • Phone: 870-932-1198
  • Fax:
Mailing address:
  • Phone: 870-932-1198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberE-20334
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberE-20334
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: