Jack Childress, MD

NPI 1841245883 · on the registry since 2006

Practice

Address: 105 Sequoya Dr
Lake Kiowa, TX 76240
Phone: (940) 736-8885
Fax: (940) 668-8292

Additional practice sites

5995 Spring St, Warm Springs, GA
400 S 15th St, Worland, WY
1900 Main St, Franklinton, LA

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 207R00000X
207R00000X
207R00000X
208M00000X
Licence states on file: LA, WY, GA, TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas