MARTIN FAMILY MEDICAL CLINIC PLLC
NPI 1467711515
Nurse Practitioner - Family in De Queen, AR

Active since May 10, 2012
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832(870) 642-2000(870) 642-2005 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Family Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN FAMILY MEDICAL CLINIC PLLC (NPI 1467711515) is a healthcare organization registered as a family in De Queen, Arkansas and active in the NPI registry since May 2012. The organization lists Angela K Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1467711515
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMARTIN FAMILY MEDICAL CLINIC PLLC
Location Address1357 W COLLIN RAYE DRDe Queen, AR 71832-2946
Mailing Address1357 W Collin Raye DrDe Queen, AR 71832-2946 · (870) 642-2000 · Fax (870) 642-2005
Fax(870) 642-2005
Organization SubpartNo
Authorized OfficialAngela K MartinOwner · (870) 642-2000
Enumeration DateMay 10, 2012
NPI 1467711515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1357 W COLLIN RAYE DR, De Queen, AR 71832

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Radiologic Technologist (Sonography)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Nurse Practitioner (Family)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Pediatrics
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Clinic/Center (Critical Access Hospital)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Clinic/Center (Radiology)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Pediatrics
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832
Pharmacy (Community/Retail Pharmacy)
1357 W COLLIN RAYE DR
DE QUEEN, AR 71832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Family Medical Clinic PLLC's NPI number?

The NPI number for Martin Family Medical Clinic PLLC is 1467711515. It was assigned to this organization in the NPPES registry on May 10, 2012.

Where is Martin Family Medical Clinic PLLC located?

Martin Family Medical Clinic PLLC is located at 1357 W Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 642-2000.

What is Martin Family Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Martin Family Medical Clinic PLLC was last updated on May 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.