Individual
SAMANTHA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
351 W. BYRON NELSON BLVD, SUITE 100, ROANOKE, TX 76262
(415) 602-2048
Mailing address
1224 N HIGHWAY 377 # 303-151, ROANOKE, TX 76262-9103
(817) 674-7494
(855) 880-6990
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#8FV228
BCBSTX
TX
05
—
355509601
—
TX
Enumeration date
01/16/2007
Last updated
09/30/2020
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