Organization · Type 2 NPI
Tracy Family Practice Clinic PA
Preferred Provider Organization · De Witt, AR
NPI number
1659319150
Active
Practice location
1940 S Whitehead Dr
De Witt, AR 72042-2906
Fax (870) 946-2428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | C7340 (AR) |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4 other providers at this address
- Mid-Delta Health Systems, Inc.Federally Qualified Health Center (FQHC) De Witt, AR NPI 1053938118
- Laura Ann Hannum, APRNFamily Nurse Practitioner De Witt, AR NPI 1265102859
- Lori Ann Wilson, LPCProfessional Counselor De Witt, AR NPI 1699499111
- Wallace Lee Tracy, MDFamily Medicine Physician De Witt, AR NPI 1366438384
About NPI 1659319150
Tracy Family Practice Clinic PA's National Provider Identifier is 1659319150, issued on Jun 4, 2006. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in De Witt, AR. The record was last updated on Sep 16, 2010.