Roanoke Foot & Ankle Institute, Pllc | |
351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | |
(817) 674-7494 | |
(817) 674-7496 |
Full Name | Roanoke Foot & Ankle Institute, Pllc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 351 W Byron Nelson Blvd, Roanoke, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497399687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Ricky Lynn Childers |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396855458 PECOS PAC ID: 0547265357 Enrollment ID: I20140131000126 |
Provider Name | Samantha Lyn Childers |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1790837425 PECOS PAC ID: 0749355352 Enrollment ID: I20160210002812 |
Provider Name | David Raj Chandra |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689244766 PECOS PAC ID: 3870038755 Enrollment ID: I20240716001324 |
Mailing Address | Practice Location Address |
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Roanoke Foot & Ankle Institute, Pllc 1224 N Highway 377 Ste 303-151, Roanoke, TX 76262-9103 Ph: (817) 674-7494 | Roanoke Foot & Ankle Institute, Pllc 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 Ph: (817) 674-7494 |
Samantha Childers, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 351 W. Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 Phone: 415-602-2048 |