Individual
DR. CHARLES SHANNON CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 W REYNOSA AVE, DE LEON, TX 76444-1630
(254) 893-5895
(888) 895-1214
Mailing address
PO BOX 30, DE LEON, TX 76444-0482
(254) 893-5895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7961
TX
Other
Enumeration date
01/20/2006
Last updated
05/02/2023
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