MEDICARE: NORMAN F. CLOTHIER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	J1935	TX

General Provider Information

NPI Number	:	1386602696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN F. CLOTHIER JR. M.D.

Provider Business Mailing Address
First Line	:	405 BUTTERCUP DR
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-2910
Country	:	US
Telephone Number	:	214-886-9111
Fax Number	:	870-425-0633

Provider Business Practice Location Address
First Line	:	405 BUTTERCUP DR
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-2910
Country	:	US
Telephone Number	:	870-425-3030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	12/15/2025

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