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Individual

CRAIG C CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4350 ALPHA RD, DALLAS, TX 75244-4404
(972) 934-4817
(972) 934-4321
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H0037
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042914401
TX
01
H0037
STATE LICENCE
TX
Enumeration date
06/07/2006
Last updated
04/24/2014
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