Organization
UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYOKA BOWMAN (SUPERVISOR)
(901) 287-5594
Entity
Organization
Contact information
Practice address
848 ADAMS AVE., MEMPHIS, TN 38103
(901) 287-7337
Mailing address
850 POPLAR AVE., BLDG. 2, MEMPHIS, TN 38105
(901) 287-5513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
Other
Enumeration date
10/07/2010
Last updated
07/17/2023
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