Childress, Steven A
Childress, Steven A is an individual health care provider with primary practice located at 421 N Robinson Dr , Robinson TX 76706-5303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Childress, Steven A can be contacted via phone (254) 662-3306.Contact Information
Primary practice address
421 N Robinson Dr
Robinson TX 76706-5303
Phone: (254) 662-3306
Fax: (254) 662-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 15023 | Texas |
Profile Details
| NPI number | 1215157532 |
|---|---|
| LBN Legal business name | Childress, Steven A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215157532 | NPPES |
| Texas | MEDICAID | 143947301 |
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