# DR. CLINTON R. CHILDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841245024
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19517 | OK | Yes |
| 207Q00000X | Family Medicine Physician | K3130 | TX | — |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 09/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 047146801 | — | TX |
| 05 | — | 047146802 | — | TX |
| 01 | — | 080175359 | RR MEDICARE | TX |
| 01 | — | 8A9711 | BCBS | TX |