Individual
RICHARD L CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
28590 IH 10 WEST, SUITE 3, BOERNE, TX 78006
(830) 981-5150
(830) 981-5159
Mailing address
5825 CALLAGHAN RD STE 102, SAN ANTONIO, TX 78228-1106
(210) 227-8700
(210) 348-9130
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130989007
—
TX
01
—
8D1393
BCBS
TX
Enumeration date
11/07/2005
Last updated
06/10/2021
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