# ROANOKE FOOT & ANKLE INSTITUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497399687
- **Authorized official:** SAMANTHA CHILDERS DPM (MANAGING MEMBER)
- **Authorized official phone:** (415) 602-2048

## Contact information

- **Practice address:** 351 W BYRON NELSON BLVD, SUITE 100, ROANOKE, TX 76262
- **Practice address phone:** (817) 674-7494
- **Practice address fax:** (817) 674-7496
- **Mailing address:** 1224 N HIGHWAY 377 STE 303-151, ROANOKE, TX 76262-9103
- **Mailing address phone:** (817) 674-7494
- **Mailing address fax:** (817) 674-7496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 10/31/2019