Childs, Craig C

Childs, Craig C is an individual health care provider with primary practice located at 4350 Alpha Rd , Dallas TX 75244-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Childs, Craig C can be contacted via phone (972) 934-4817.

Contact Information

Primary practice address
4350 Alpha Rd Dallas TX 75244-4404
Phone: (972) 934-4817
Fax: (972) 934-4321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H0037 Texas

Profile Details

NPI number 1194765412
LBN Legal business name Childs, Craig C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 24th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194765412 NPPES
Texas Other H0037 STATE LICENCE
Texas MEDICAID 042914401 STATE LICENCE

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