Joe R Childress M.D.

NPI 1063401271 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063401271
Gender Male
Enumeration Date 10/19/2005
Last Updated 11/18/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
999 E BASSE RD
SUITE 100
SAN ANTONIO TX, 78209-1801, US
Phone (210) 656-3040
Fax (210) 656-6419
Business Location
1210 ARION PKWY
SAN ANTONIO TX, 78216-2880, US
Phone (210) 349-9300
Fax (210) 366-2558
Toxanomy
Taxonomy Code 207V00000X
License State Texas
License Number E2513
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According to our database, Dr. Joe R Childress M.D. NPI is 1063401271, taxonomy code is 207V00000X and license number is E2513, license state is located at Texas. Joe R Childress M.D. physically located at 999 E Basse Rd, San Antonio TX, 78209-1801. NPI Number Joe R Childress M.D. has the Individual type.

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1063401271 NPI number is provided on an as is basis without warranty of any kind. 1063401271 is maintained by the National Plan & Provider Enumeration System. The contents of Joe R Childress M.D. are for informational purposes only.