Childers, Ricky L.

Childers, Ricky L. is an individual health care provider with primary practice located at 1713 S Fm 51 , Decatur TX 76234-3642. 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, Ricky L. can be contacted via phone (940) 627-6976.

Contact Information

Primary practice address
1713 S Fm 51 Decatur TX 76234-3642
Phone: (940) 627-6976
Fax: (940) 627-3491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1932 Texas

Profile Details

NPI number 1396855458
LBN Legal business name Childers, Ricky L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 4th, 2019 - about 6 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 1396855458 NPPES
Texas MEDICAID 334278401
Texas Other 8EE386

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