Provider Demographics
NPI:1003319112
Name:ALL GOD'S CHILDREN, LLC
Entity Type:Organization
Organization Name:ALL GOD'S CHILDREN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBIE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:CHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:469-826-6510
Mailing Address - Street 1:7102 SALEM CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3968
Mailing Address - Country:US
Mailing Address - Phone:469-826-6510
Mailing Address - Fax:
Practice Address - Street 1:7102 SALEM CT
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-3968
Practice Address - Country:US
Practice Address - Phone:469-826-6510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX640999363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty