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DE QUEEN PEDIATRICS INC NPI 1295983237


NPI Information

NPI: 1295983237
Provider Name: DE QUEEN PEDIATRICS INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1357 W COLLIN RAYE DR
DE QUEEN, AR
ZIP 71832
Phone: (870) 642-4364
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DE QUEEN PEDIATRICS INC is a pediatrics in De Queen, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DE QUEEN PEDIATRICS INC NPI is 1295983237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1357 W COLLIN RAYE DR
DE QUEEN, AR
ZIP 71832-946
Phone: (870) 642-4364

The provider's authorized official is Terri A Devlin .
The authorized official title is Owner/physician and has the following contact phone number (870) 642-4364.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 4/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeE-2169ARKANSASNo
2208000000XPediatricsE-2169ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1170952002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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