| Doctor Name: | RICHARD L CHILDERS |
| NPI Number: | 1124009337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 0930 |
| Business Practice Address: | 28590 Ih 10 West Suite 3 Boerne, TX - 78006 |
| Business Phone Number: | 8309815150 |
| Business Fax Number: | 8309815159 |
| Mailing Address: | 45 Ne Loop 410, Suite 485 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782165832 |
| Phone Number: | 2102278700 |
| Fax Number: | 2103489130 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |