Dr TRACEY W CHILDERS is a female medical professional, specializing in Otolaryngology. She graduated in 1994 from University Of North Texas Health Science Center At Fort Worth.
TAHLEQUAH MEDICAL GROUP LLC
1201 E ROSS BYPASS
TAHLEQUAH
OK
744644188
Tel: 9182070991
| Npi | 1053371021 |
| Pac Id | 3375592553 |
| Professional Enrollment Id | I20080214000188 |
| Last Name | CHILDERS |
| First Name | TRACEY |
| Middle Name | W |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1994 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Organization Legal Name | TAHLEQUAH MEDICAL GROUP LLC |
| Group Practice Pac Id | 4082861349 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 1201 E ROSS BYPASS |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 744644188 |
| Phone Number | 9182070991 |
| Hospital Affiliation Ccn 1 | 370171 |
| Hospital Affiliation Lbn 1 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 370089 |
| Hospital Affiliation Lbn 2 | NORTHEASTERN HEALTH SYSTEM |
| Hospital Affiliation Ccn 3 | 140110 |
| Hospital Affiliation Lbn 3 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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