MEDICARE: DR. JAMES T HOWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	C-4389	AR

General Provider Information

NPI Number	:	1366464711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES T HOWELL MD

Provider Business Mailing Address
First Line	:	PO BOX 3528
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72913-3528
Country	:	US
Telephone Number	:	479-452-2077
Fax Number	:

Provider Business Practice Location Address
First Line	:	3416 OLD GREENWOOD RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5462
Country	:	US
Telephone Number	:	479-452-2077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	09/19/2007

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