ITI CHITO ENTERPRISES INC NPI 1912679549

NPI Information

  • NPI: 1912679549
  • Provider Name: ITI CHITO ENTERPRISES INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: LOCKESBURG FAMILY CLINIC
  • Address: 500 E COLLIN RAYE DR STE 2
    DE QUEEN, AR
    ZIP 71832
  • Phone: (870) 642-7257

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NPI Details

ITI CHITO ENTERPRISES INC is a primary care clinic center in De Queen, AR. ITI CHITO ENTERPRISES INC NPI is 1912679549. The provider is registered as an organization entity type.
The provider Is Doing Business As Lockesburg Family Clinic.

The provider's business location address is:

500 E COLLIN RAYE DR STE 2
DE QUEEN, AR
ZIP 71832-068
Phone: (870) 642-7257
Fax: (870) 642-5015

The provider's authorized official is Rusty Lynn Griffin .
The authorized official title is Owner and has the following contact phone number (501) 765-0275.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 4/1/2022.

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
1261QU0200XClinic/CenterUrgent CareNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

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

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