JACOB A. CHILDERS

AUSTIN, TX
NPI1255411617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  M9924)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NC  2005-01503)
Enumeration Date2006-10-17
Last Update Date2021-04-08
Business Address
JACOB A. CHILDERS M.D.
6835 AUSTIN CENTER BLVD
AUSTIN, TX 78731-3166
Phone number: 512-346-6611
Mailing Address
JACOB A. CHILDERS M.D.
6210 E HIGHWAY 290
AUSTIN, TX 78723-1142
Phone number: 512-483-9596