Julie Lynette Tate in Bentonville - Pediatrics

Julie Lynette Tate - NPI 1578731154

Julie Lynette Tate is a Pediatrics in Bentonville, Arkansas. Julie Lynette Tate practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Julie Lynette Tate is 1578731154. The last update date is 2022-03-08.

Julie Lynette Tate's current location address is 1110 Se 30th St, Bentonville, Arkansas. You can contact this provider via phone number 4792822966 and fax number 4792822967. The mailing address for Julie Lynette Tate is 1110 Se 30th St, Bentonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie Lynette Tate
Address 1110 Se 30th St, Bentonville, Arkansas
Phone Number 4792822966
Fax Number 4792822967
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1578731154
Provider Enumeration Date 2008-02-15
Last Updated Date 2022-03-08

Provider Mailing Address Detail

Address 1110 Se 30th St
City Bentonville
State Arkansas (AR)
Post Code 72712
Phone Number 4792822966
Fax Number 4792822967

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No E7529
Definition:
A pediatrician 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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
192425001 AR --

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FAQs about Julie Lynette Tate

What is the Julie Lynette Tate's 1578731154?

The Julie Lynette Tate's NPI (National Provider Identifier) Number is 1578731154. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Julie Lynette Tate's facilities are situated?

The facilities of Julie Lynette Tate are physically located at the following address: 1110 Se 30Th St, Bentonville, AR, 72712.

What is the Julie Lynette Tate's specialty and taxonomy code?

The Julie Lynette Tate's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did Julie Lynette Tate receive its 1578731154 assignment from the Centers for Medicare & Medicaid Services?

The Julie Lynette Tate was assigned its 1578731154 on 2008-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Julie Lynette Tate most recently updated or revised?

The details related to Julie Lynette Tate, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-08.

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