Individual
JAMES STEVEN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Mailing address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H1938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097518705
—
TX
05
—
097518706
—
TX
Enumeration date
07/26/2005
Last updated
10/22/2019
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