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Organization
KONATA CHILDS, MD, PLLC
Active
Organization
KONATA CHILDS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD K CHILDS MD (OWNER)
(214) 929-8669
Entity
Organization
Contact information
Practice address
10115 CHERRY TREE DR, DALLAS, TX 75243-4807
(214) 929-8669
Mailing address
10115 CHERRY TREE DR, DALLAS, TX 75243-4807
(214) 929-8669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193193301
—
TX
Enumeration date
12/29/2006
Last updated
07/29/2008
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