| Dr Charles Shannon Childers, DO | |
|
1100 W Reynosa Ave, De Leon, TX 76444-1630 | |
| (254) 893-5895 | |
| (888) 895-1214 |
| Full Name | Dr Charles Shannon Childers |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1100 W Reynosa Ave, De Leon, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235119629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H7961 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Abilene, TX | Home health agency |
| Brownwood Regional Medical Center | Brownwood, TX | Hospital |
| Comanche County Medical Center | Comanche, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cross Timbers Health Clinics, Inc | 6800880824 | 19 |
| Entity Name | Cross Timbers Health Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134295074 PECOS PAC ID: 6800880824 Enrollment ID: O20051128000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Shannon Childers, DO Po Box 30, De Leon, TX 76444-0482 Ph: (254) 893-5895 | Dr Charles Shannon Childers, DO 1100 W Reynosa Ave, De Leon, TX 76444-1630 Ph: (254) 893-5895 |
Dr. Ronald Livingston, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W Reynosa St, De Leon, TX 76444 Phone: 254-893-5895 Fax: 254-893-5222 | |
Vincenzo Giustino, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W Reynosa Ave, De Leon, TX 76444 Phone: 254-893-5895 Fax: 254-893-5222 | |
Dr. John Edward Garner, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W Reynosa St, De Leon, TX 76444 Phone: 254-893-5895 Fax: 254-893-5222 |