Healthcare Provider Details

I. General information

NPI: 1770490963
Provider Name (Legal Business Name): TOTAL FAMILY MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11442 AR-27
HECTOR AR
72843
US

IV. Provider business mailing address

11442 AR-27
HECTOR AR
72843
US

V. Phone/Fax

Practice location:
  • Phone: 479-284-2012
  • Fax:
Mailing address:
  • Phone: 479-284-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY MARGARET GAUTREAU
Title or Position: ADMINISTRATOR
Credential: CNM
Phone: 985-542-2466