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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY FAMILY PRACTICE CLINIC PA

Active Organization

TRACY FAMILY PRACTICE CLINIC PA is a Preferred Provider Organization organization located in DE WITT, Arkansas. NPI 1659319150 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · DE WITT, AR

Registration Details

NPI Number
1659319150
Provider Type
Organization
NPI Issued
Jun 4, 2006 (20.2178008878 yrs)
Last Updated
Sep 16, 2010
License
C7340 (AR)

Practice Information

Address
1940 S WHITEHEAD DR
DE WITT, AR, 720422906
Browse AR providers · Browse ZIP 72042
Phone
8709464505
Fax
8709462428
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.