Organization · Type 2 NPI

Grand Prairie Wellness Clinic PLLC

Family Medicine Physician · Stuttgart, AR

NPI number 1679462337 Active

Practice location

310 W 22nd St
Stuttgart, AR 72160-6600

Fax (844) 689-3150

Mailing address

45 Swan B Ln
Stuttgart, AR 72160-5653

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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.

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About NPI 1679462337

Grand Prairie Wellness Clinic PLLC's National Provider Identifier is 1679462337, issued on Jun 30, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Stuttgart, AR. The record was last updated on Oct 27, 2025.