Pediatric And Teen Medical Center

LBN: Anes W. Abraham M.D. P.A.
Pediatric And Teen Medical Center is an health care organization with primary practice located at 1521 N 10Th St Suite H, Blytheville AR 72315-1405. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Anes W. Abraham M.D. P.A. can be contacted via phone (870) 763-1700, or through Abraham, Anes Wiley via phone (870) 763-1700.

Contact Information

Primary practice address
1521 N 10Th St Suite H Blytheville AR 72315-1405
Phone: (870) 763-1700
Fax: (870) 763-2903
Website:
Map and Directions
Authorized official contact:
Name: Abraham, Anes Wiley Doctor of Medicine (MD)
Phone: (870) 763-1700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R3291 Arkansas

Profile Details

NPI number 1053490144
LBN Legal business name Anes W. Abraham M.D. P.A.
DBA Doing business as Pediatric And Teen Medical Center
Authorized official Abraham, Anes Wiley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053490144 NPPES
Arkansas Other 57920 CLINIC BCBS

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