Childers, Richard L

Childers, Richard L is an individual health care provider with primary practice located at 28590 Ih 10 West Suite 3, Boerne TX 78006. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Childers, Richard L can be contacted via phone (830) 981-5150.

Contact Information

Primary practice address
28590 Ih 10 West Suite 3 Boerne TX 78006
Phone: (830) 981-5150
Fax: (830) 981-5159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0930 Texas

Profile Details

NPI number 1124009337
LBN Legal business name Childers, Richard L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124009337 NPPES
Texas MEDICAID 130989007
Texas Other 8D1393

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