Healthcare Provider Details

I. General information

NPI: 1386602696
Provider Name (Legal Business Name): NORMAN F. CLOTHIER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 BUTTERCUP DR
MOUNTAIN HOME AR
72653-2910
US

IV. Provider business mailing address

405 BUTTERCUP DR
MOUNTAIN HOME AR
72653-2910
US

V. Phone/Fax

Practice location:
  • Phone: 870-425-3030
  • Fax:
Mailing address:
  • Phone: 214-886-9111
  • Fax: 870-425-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberJ1935
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: