| Organization Name: | FAMILY PRACTICE CENTER |
| NPI Number: | 1013108240 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA LYNN SMITH (OFFICE MANAGER) |
| Mailing Address: | 194 Shakerag Road Clinton |
| State: | AR US |
| Postal Code: | 72031 |
| Phone Number: | 5017452800 |
| Fax Number: | 5017458864 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | N6056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |