Tracy Family Practice Clinic PA
Tracy Family Practice Clinic PA is a Preferred Provider Organization in De Witt, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.
- Licensed in
- AR
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1940 S Whitehead DrDe Witt, AR 72042-2906
Phone: (870) 946-4505
Fax: (870) 946-2428
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence C7340 (AR) |
|---|
Record details
| NPI number | 1659319150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wallace Tracy — Owner · (870) 946-4505 |
| NPI enumerated | June 4, 2006 |
| Last updated in NPPES | September 16, 2010 |
| Mailing address | 1940 S Whitehead Dr, De Witt, AR 72042-2906 |