Brown, William Randall
Brown, William Randall is an individual health care provider with primary practice located at 5508 Summerhill Rd , Texarkana TX 75503-1822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brown, William Randall can be contacted via phone (903) 792-1292.Contact Information
Primary practice address
5508 Summerhill Rd
Texarkana TX 75503-1822
Phone: (903) 792-1292
Fax: (903) 792-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G1862 | Texas |
Profile Details
| NPI number | 1245231885 |
|---|---|
| LBN Legal business name | Brown, William Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Sep 3rd, 2013 - about 11 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 | 1245231885 | NPPES |
| Texas | MEDICAID | 103364901 | |
| Texas | Other | 300032042 |
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