Barkley, Randall
Barkley, Randall is an sole proprietor health care provider with primary practice located at 3600 Hulen St Ste B-1, Ft Worth TX 76107-6863. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Barkley, Randall can be contacted via phone (817) 732-3230.Contact Information
Primary practice address
3600 Hulen St Ste B-1
Ft Worth TX 76107-6863
Phone: (817) 732-3230
Fax: (817) 732-4024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12168 | Texas |
Profile Details
| NPI number | 1326155771 |
|---|---|
| LBN Legal business name | Barkley, Randall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326155771 | NPPES |
| Texas | MEDICAID | 0910671 |
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