De Queen Pediatrics Inc

LBN: De Queen Pediatrics Inc
De Queen Pediatrics Inc is an health care organization with primary practice located at 1357 W Collin Raye Dr , De Queen AR 71832-2946. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. De Queen Pediatrics Inc can be contacted via phone (870) 642-4364, or through Devlin, Terri A via phone (870) 642-4364.

Contact Information

Primary practice address
1357 W Collin Raye Dr De Queen AR 71832-2946
Phone: (870) 642-4364
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Devlin, Terri A Doctor of Medicine (MD)
Phone: (870) 642-4364

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-2169 Arkansas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-2169 Arkansas

Profile Details

NPI number 1295983237
LBN Legal business name De Queen Pediatrics Inc
DBA Doing business as
Authorized official Devlin, Terri A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Apr 24th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295983237 NPPES
Arkansas MEDICAID 170952002

Popular Providers