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Jack R Childress, MD
Internal Medicine Physician in Lake Kiowa, Texas
NPI 1841245883

Jack R Childress is a Internal Medicine Physician based in Lake Kiowa, TX. Jack R Childress practices in Lake Kiowa, TX and has the professional credentials of MD. The NPI Number for Jack R Childress is 1841245883 and holds a License No. H5535 (Texas).

The current practice location address for Jack R Childress is 105 Sequoya Dr, Lake Kiowa, TX and can be reached out via phone at 940-736-8885 and via fax at 940-668-8292.

Location: 105 Sequoya Dr, Lake Kiowa, TX, 76240-9446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841245883
Provider Name
Jack R Childress
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
105 Sequoya Dr, Lake Kiowa, TX, 76240-9446
Phone Number
940-736-8885
Fax Number
940-668-8292
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8V4246 01 TX BCBS-TEXAS
163713001 05 AR
1140766-07 05 TX
84487 01 AR BCBS-ARKANSAS
P00466537 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
105 Sequoya Dr
City
Lake Kiowa
State
Texas
Zip
76240-9446
Phone Number
940-736-8885
Fax Number
940-668-8292
person
Provider Business Mailing Address Details
Address
105 Sequoya Dr
City
Lake Kiowa
State
Texas
Zip
76240-9446
Phone Number
940-736-8885
Fax Number
940-668-8292
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
H5535 (Texas)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
H5535 (Texas)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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