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Richard M Childs, JR.

  • Male

Medical Specialty

Professional ID

  • NPI: 1538111885
  • PECOS ID: 3375509409
  • Enrollment ID: I20041209000523
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 1999

Hospital Service

  • Hospital CCN1: 450271
  • Business Name (LBN)1: Wise Regional Health System

Medical Practices

  • Organization Name: Clearwater Anesthesia Pllc
  • Group Practice ID assigned by PECOS: 1759347875
  • Number of Group Practice member: 2

Location

  • Address1: 6551 Harris Pkwy
  • Address2:
  • City: Fort Worth
  • State: Texas
  • Zip Code: 76132
  • Phone Number: (817)346-3800

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):