De Queen Pediatrics Inc
Pediatrics
De Queen Pediatrics Inc is a De Queen, Arkansas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1357 W Collin Raye Dr, De Queen, Arkansas - 71832-2946. They can be contacted on phone at
870-642-4364.
NPI number (Unique professional ID) for De Queen Pediatrics Inc is
1295983237 which was assigned by NPPES on 03 Sep, 2008 and it was last updated on 24 Apr, 2014.
De Queen Pediatrics Inc license number is
E-2169 for Pediatrics (208000000X) in Arkansas.
De Queen Pediatrics Inc is a pediatrician who 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.
Complete Profile:
De Queen Pediatrics Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | De Queen Pediatrics Inc |
|---|
Business Address:
De Queen Pediatrics Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1357 W Collin Raye Dr
De Queen, AR, 71832-2946
United States |
|---|
| Phone Number : | 870-642-4364 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295983237 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 03 Sep, 2008 |
|---|
| Last Updated On : | 24 Apr, 2014 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Terria Devlin |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | OWNER/PHYSICIAN |
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| Phone Number : | 870-642-4364 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for De Queen Pediatrics Inc are as mentioned. Primary taxonomy code for De Queen Pediatrics Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208D00000X | General Practice | No | E-2169 | AR |
| 208000000X | Pediatrics | Yes | E-2169 | AR |
Legacy Identifiers:
Other legacy medical identifiers of De Queen Pediatrics Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 170952002 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1357 W Collin Raye Dr
De Queen, AR, 71832-2946
United States |
|---|
| Phone Number : | 870-642-4364 |
|---|
Business Location:
Patients can refer following map for directions to
De Queen Pediatrics Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.