Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otter Creek Family Clinic PLLC

Organization Internal Medicine Physician · NPI 1336122340

Otter Creek Family Clinic PLLC is an Internal Medicine Physician in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11321 Interstate 30 Ste 101
Little Rock, AR 72209-7059
Phone: (501) 455-1331
Fax: (501) 455-5597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C5502 (AR)

Record details

NPI number1336122340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rita Alexander — Billing Coordinator · (501) 455-1331
NPI enumeratedNovember 23, 2005
Last updated in NPPESJune 23, 2010
Mailing address11321 Interstate 30, Ste 101, Little Rock, AR 72209-7059

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