Provider Demographics
NPI:1174175863
Name:CHILDS, ALIYYA JALA (MD)
Entity type:Individual
Prefix:
First Name:ALIYYA
Middle Name:JALA
Last Name:CHILDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALIYYA
Other - Middle Name:JALA
Other - Last Name:TIPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1817 PROSPECT ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7219
Mailing Address - Country:US
Mailing Address - Phone:414-975-4821
Mailing Address - Fax:
Practice Address - Street 1:16659 SOUTHWEST FWY STE 235
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2372
Practice Address - Country:US
Practice Address - Phone:414-975-4821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6698207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology