Childers, James Steven
Childers, James Steven is an individual health care provider with primary practice located at 5450 Clearfork Main St Ste 300 , Fort Worth TX 76109-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Childers, James Steven can be contacted via phone (817) 334-1400.Contact Information
Primary practice address
5450 Clearfork Main St Ste 300
Fort Worth TX 76109-3514
Phone: (817) 334-1400
Fax: (817) 334-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H1938 | Texas |
Profile Details
| NPI number | 1629078290 |
|---|---|
| LBN Legal business name | Childers, James Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Oct 22nd, 2019 - about 7 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 | 1629078290 | NPPES |
| Texas | MEDICAID | 097518705 | |
| Texas | MEDICAID | 097518706 |
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