Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY WAY CHILDERS, D.O.
Deactivated Sole ProprietorTRACEY WAY CHILDERS, D.O. is a Facial Plastic Surgery healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1053371021 is deactivated in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · TAHLEQUAH, OK
This NPI has been deactivated.
The record was deactivated on May 2, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053371021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2006 (18.106849315068 yrs)
- Last Updated
- May 28, 2024
- Deactivated
- May 2, 2024
- License
-
3296 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1203 E ROSS BYPSUITE ATAHLEQUAH, OK, 744644188Browse OK providers · Browse ZIP 74464
- Phone
- 9184531234
- Fax
- 9184539107
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Other Facial Plastic Surgery Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| LEA SARAH HUMPHREY | D.O. | 1649584855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.