Organization Name: | DR. TINTIN DEVOE A PROFESSIONAL MEDICAL CORPORATION |
NPI Number: | 1043329071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT DEVOE (BUSINESS MANAGER) |
Mailing Address: | 4880 Highway 22 Mandeville |
State: | LA US |
Postal Code: | 704716748 |
Phone Number: | 9858458894 |
Fax Number: | 9858451969 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 016922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |