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Contact Information

SAMANTHA CHILDERS, DPM
351 W. BYRON NELSON BLVD
SUITE 100
ROANOKE, TX76262
 Phone: 415-602-2048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMANTHA CHILDERS · (Female)

NPI # 1790837425
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/16/2007
Last updated 09/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1931
  • TX Medicaid 355509601
  • TX Other #8FV228 BCBSTX
Hospital affiliation(s)
  • WISE REGIONAL HEALTH SYSTEM - (Acute Care)
    609 MEDICAL CENTER DRIVE
    DECATUR, TX 76234
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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