Provider Demographics
NPI:1114580131
Name:LOVETTE PEDIATRIC ACUTE MOBILE CARE
Entity Type:Organization
Organization Name:LOVETTE PEDIATRIC ACUTE MOBILE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:PITMAN
Authorized Official - Last Name:LOVETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-354-2556
Mailing Address - Street 1:213 SENDERA XING
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-5235
Mailing Address - Country:US
Mailing Address - Phone:214-354-2556
Mailing Address - Fax:
Practice Address - Street 1:213 SENDERA XING
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-5235
Practice Address - Country:US
Practice Address - Phone:214-354-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty