Organization
ITI CHITO ENTERPRISES INC
Active
Parent organization
LOCKESBURG FAMILY CLINIC
Other names
Lockesburg Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOCKESBURG FAMILY CLINIC
Authorized official
RUSTY LYNN GRIFFIN (OWNER)
(501) 765-0275
Entity
Organization
Contact information
Practice address
500 E COLLIN RAYE DR STE 2, DE QUEEN, AR 71832-8068
(870) 289-5192
(870) 289-4223
Mailing address
PO BOX 315, LOCKESBURG, AR 71846-0315
(870) 289-5192
(870) 289-4223
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/17/2021
Last updated
12/02/2021
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