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MARION CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 567-4500
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
663184
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121433
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306583102
TX
Enumeration date
01/31/2012
Last updated
10/25/2019
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