Individual
DR. ED W. CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S HORSEBARN RD, ROGERS, AR 72758-8184
(479) 273-7700
(479) 464-7734
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 273-7700
(479) 464-7734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
067203
GA
208600000X
Surgery Physician
Primary
E-19369
AR
208600000X
Surgery Physician
H7963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121550B
—
GA
01
—
020048105
RR/MEDICARE
TX
05
—
0457251-01
—
TX
01
—
0457251-02
CSHCN
TX
01
—
8A6942
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
06/04/2025
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