Individual
BRANDON CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, STE 600, SAN ANTONIO, TX 78229
(210) 616-7790
Mailing address
8401 DATAPOINT DR, STE 600, SAN ANTONIO, TX 78229-5907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
BP10042836
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R6366
TX
Other
Enumeration date
05/08/2012
Last updated
07/12/2018
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