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WHITNEY CHILDS PACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-3817
(682) 885-3825
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1020646
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1020646
TX

Other

Enumeration date
11/16/2021
Last updated
01/07/2025
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