Bingham, Randy Dwayne

Bingham, Randy Dwayne is an individual health care provider with primary practice located at 1704 Jenkins St , Rockport TX 78382-3341. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bingham, Randy Dwayne can be contacted via phone (361) 790-9047.

Contact Information

Primary practice address
1704 Jenkins St Rockport TX 78382-3341
Phone: (361) 790-9047
Fax: (361) 790-9615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00458 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00458 Texas

Profile Details

NPI number 1083721518
LBN Legal business name Bingham, Randy Dwayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 6th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083721518 NPPES
Texas MEDICAID 196053601
Texas Other 8Y3994

Popular Providers