Organization
JAMES N CHILDS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES N CHILDS M.D. (PRESIDENT)
(979) 696-4444
Entity
Organization
Contact information
Practice address
1605 ROCK PRAIRIE RD, STE 312, COLLEGE STATION, TX 77845-8358
(979) 696-4444
Mailing address
1605 ROCK PRAIRIE RD, STE 312, COLLEGE STATION, TX 77845-8358
(979) 696-4444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R31T
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
02/05/2007
Last updated
08/22/2020
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