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General NPI Number Information
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NPI Number | 1013154095
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Entity Type | Organization
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Legal Business Name | HAROLD B CHILDS III
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 10999 IH-10 WEST SUITE 365
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City | SAN ANTONIO
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State | TX
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Zip | 78230
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Country | US
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Telephone | 210-344-1855
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Fax | 210-344-1846
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Provider Business Mailing Address
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Address Line | 10999 IH 10 W STE 365
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City | SAN ANTONIO
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State | TX
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Zip | 78230-1349
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Country | US
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Telephone | 210-344-1855
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Fax | 210-344-1846
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. HAROLD B CHILDS III
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Credential |
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Telephone | 210-557-4306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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