Childress, Joe R

Childress, Joe R is an individual health care provider with primary practice located at 999 E Basse Rd Suite 100, San Antonio TX 78209-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Childress, Joe R can be contacted via phone (210) 656-3040.

Contact Information

Primary practice address
999 E Basse Rd Suite 100 San Antonio TX 78209-1801
Phone: (210) 656-3040
Fax: (210) 656-6419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X E2513 Texas

Profile Details

NPI number 1063401271
LBN Legal business name Childress, Joe R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 18th, 2014 - about 12 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 1063401271 NPPES
Texas MEDICAID 035640404

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