Healthcare Provider Details

I. General information

NPI: 1659805950
Provider Name (Legal Business Name): MARY CLAIRE MEEKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

IV. Provider business mailing address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-7331
  • Fax: 855-618-2364
Mailing address:
  • Phone: 479-966-7331
  • Fax: 855-618-2364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberFM8712754
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberE14457
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: