Childers, Samantha

Childers, Samantha is an individual health care provider with primary practice located at 351 W. Byron Nelson Blvd Suite 100, Roanoke TX 76262. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Childers, Samantha can be contacted via phone (415) 602-2048.

Contact Information

Primary practice address
351 W. Byron Nelson Blvd Suite 100 Roanoke TX 76262
Phone: (415) 602-2048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1931 Texas

Profile Details

NPI number 1790837425
LBN Legal business name Childers, Samantha
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 30th, 2020 - about 5 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 1790837425 NPPES
Texas Other #8FV228 BCBSTX
Texas MEDICAID 355509601 BCBSTX

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