Stephen Andre Childs, NP | |
211 E 7th St Ste 620, Austin, TX 78701-3218 | |
(800) 370-3651 | |
Not Available |
Full Name | Stephen Andre Childs |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 211 E 7th St Ste 620, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366914236 | NPI | - | NPPES |
AP139818 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 226436 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP139818 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crownpoint Phs Indian Hospital | Crownpoint, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhhs Phs Naihs Crownpoint Hospital | 0143128041 | 40 |
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Mailing Address | Practice Location Address |
---|---|
Stephen Andre Childs, NP 110 Deats Rd Apt 67, Dickinson, TX 77539-4264 Ph: (678) 612-5664 | Stephen Andre Childs, NP 211 E 7th St Ste 620, Austin, TX 78701-3218 Ph: (800) 370-3651 |
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