Organization
DECATUR LITTLE EAGLE PEDIATRICS, P.A.
Active
Other names
Amanda Lovette, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LOVETTE MD (PRESIDENT/PHYSICIAN)
(940) 627-8044
Entity
Organization
Contact information
Practice address
2401 S FM 51, SUITE 100, DECATUR, TX 76234-3781
(940) 627-8044
(940) 627-8055
Mailing address
2401 S FM 51, SUITE 100, DECATUR, TX 76234-3781
(940) 627-8044
(940) 627-8055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171105301
—
TX
01
—
4196310
BLUE LINK
—
05
—
THS # 171105302
—
TX
Enumeration date
01/31/2007
Last updated
06/13/2016
Update your record
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