Dr CLINTON R CHILDS is a male medical professional, specializing in Family Medicine. He graduated in 1994 from University Of Texas Medical Branch At Galveston.
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
1130 E LANSING
SUITE A
BROKEN ARROW
OK
740122429
Tel: 9182589990
Npi | 1841245024 |
Pac Id | 8123117744 |
Professional Enrollment Id | I20160405002357 |
Last Name | CHILDS |
First Name | CLINTON |
Middle Name | R |
Suffix | |
Gender | M |
Credential | |
Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
Group Practice Pac Id | 8527224252 |
Number Of Group Practice Members | 14 |
Line 1 Street Address | 1130 E LANSING |
Line 2 Street Address | SUITE A |
Marker Of Address Line 2 Suppression | |
City | BROKEN ARROW |
State | OK |
Zip Code | 740122429 |
Phone Number | 9182589990 |
Hospital Affiliation Ccn 1 | 370202 |
Hospital Affiliation Lbn 1 | HILLCREST HOSPITAL SOUTH |
Hospital Affiliation Ccn 2 | 370218 |
Hospital Affiliation Lbn 2 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
Hospital Affiliation Ccn 3 | 370210 |
Hospital Affiliation Lbn 3 | OKLAHOMA SURGICAL HOSPITAL, LLC |
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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