Carl W Childress O.D.

NPI 1801902606 - Optometrist - 152WC0802X

NPI Details
NPI 1801902606
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
408 E MAGRILL ST
LONGVIEW TX, 75601-6444, US
Phone (903) 753-4436
Fax (903) 757-4400
Business Location
408 MAGRILL STREET
LONGVIEW TX, 75601-6444, US
Phone (903) 753-4436
Fax (903) 757-4400
Toxanomy
Taxonomy Code 152WC0802X
License State Texas
License Number 1892
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According to our database, Dr. Carl W Childress O.D. NPI is 1801902606, taxonomy code is 152WC0802X and license number is 1892, license state is located at Texas. Carl W Childress O.D. physically located at 408 E Magrill St, Longview TX, 75601-6444. NPI Number Carl W Childress O.D. has the Individual type.

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1801902606 NPI number is provided on an as is basis without warranty of any kind. 1801902606 is maintained by the National Plan & Provider Enumeration System. The contents of Carl W Childress O.D. are for informational purposes only.