# TAYLOR MADE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Made Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073282513
- **Authorized official:** MRS. CALLIE R TAYLOR APRN (OWNER)
- **Authorized official phone:** (870) 269-8700

## Contact information

- **Practice address:** 316 E MAIN ST, MOUNTAIN VIEW, AR 72560-0316
- **Practice address phone:** (870) 269-8700
- **Mailing address:** 316 E MAIN ST, PO BOX 312, MOUNTAIN VIEW, AR 72560-0316
- **Mailing address phone:** (870) 269-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 08/05/2024