MEDICARE: CHILD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	444420	TX

General Provider Information

NPI Number	:	1194845305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD INC

Provider Business Mailing Address
First Line	:	818 E 53RD ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2212
Country	:	US
Telephone Number	:	512-451-7361
Fax Number	:	512-451-6175

Provider Business Practice Location Address
First Line	:	818 E 53RD ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2212
Country	:	US
Telephone Number	:	512-451-7361
Fax Number	:	512-451-6175

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JAMES STRICKLAND
Credential	:
Telephone Number	:	512-451-7361

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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