Jack R Childress, MD

NPI #1841245883 in Lake Kiowa, Texas

Provider Information

NPI Number: 1841245883
Entity Type: Individual
Name: Jack R Childress, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 24, 2006
Last Updated: Jun 3, 2025

Practice Location

Address: 105 SEQUOYA DR
City: Lake Kiowa
State: Texas
ZIP Code: 76240-9446
Phone: (940) 736-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Hospitalist	208M00000X

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