Childress, Adrian Denise

Childress, Adrian Denise is an individual health care provider with primary practice located at 1317 N Hillcrest Dr , Sulphur Springs TX 75482-2091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Childress, Adrian Denise can be contacted via phone (903) 438-1110.

Contact Information

Primary practice address
1317 N Hillcrest Dr Sulphur Springs TX 75482-2091
Phone: (903) 438-1110
Fax: (903) 438-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04520 Texas

Profile Details

NPI number 1164654737
LBN Legal business name Childress, Adrian Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2009
Last updated Jan 23rd, 2017 - about 9 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 1164654737 NPPES
Texas MEDICAID 281003801
Texas MEDICAID 281003803
Texas Other 752950731

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