Childers, Laci Marie

Childers, Laci Marie is an individual health care provider with primary practice located at 1411 N Beckley Ave Pavilion Iii Suite 152, Dallas TX 75203-1586. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Childers, Laci Marie can be contacted via phone (972) 947-8181.

Contact Information

Primary practice address
1411 N Beckley Ave Pavilion Iii Suite 152 Dallas TX 75203-1586
Phone: (972) 947-8181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 1047844 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1047844 Texas

Profile Details

NPI number 1154916880
LBN Legal business name Childers, Laci Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2021
Last updated Sep 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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