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Contact Information

UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
848 ADAMS AVE.
MEMPHIS, TN38103
 Phone: 901-287-7337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neurodevelopmental Disabilities

2080P0008X 37 Physician/Pediatric Medicine
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatric Nephrology

2080P0210X 37 Physician/Pediatric Medicine
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.

NPI # 1093024101
LBN Legal business name UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
Authorized official SHANNON TACKER - (VP/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2010
Last updated 02/01/2019 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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