Individual
DR. RICKY L. CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1713 S FM 51, DECATUR, TX 76234-3642
(940) 627-6976
(940) 627-3491
Mailing address
1713 S FM 51 STE 103, DECATUR, TX 76234-3644
(940) 627-6976
(940) 627-3491
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334278401
—
TX
01
—
8EE386
BCNSTX
TX
Enumeration date
08/30/2006
Last updated
06/04/2019
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