TAYLOR MADE CLINIC PLLC NPI 1073282513

NPI Information

  • NPI: 1073282513
  • Provider Name: TAYLOR MADE CLINIC, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TAYLOR MADE CLINIC
  • CLIA Number: 04D2246974
  • Address: 316 E MAIN ST
    MOUNTAIN VIEW, AR
    ZIP 72560
  • Phone: (870) 269-8700

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NPI Details

TAYLOR MADE CLINIC, PLLC is a family medicine in Mountain View, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TAYLOR MADE CLINIC, PLLC NPI is 1073282513. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Taylor Made Clinic.

The provider's business location address is:

316 E MAIN ST
MOUNTAIN VIEW, AR
ZIP 72560-316
Phone: (870) 269-8700

The provider's authorized official is Callie R Taylor .
The authorized official title is Owner and has the following contact phone number (870) 269-8700.

The CLIA number assigned to this NPI record is 04D2246974 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2021 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2261QP2300XClinic/CenterPrimary CareNo

What is NPI?

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This page was last updated on: 11/21/2025

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