Crim, Randall David
Crim, Randall David is an individual health care provider with primary practice located at 6500 Harris Pkwy , Fort Worth TX 76132-4136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Crim, Randall David can be contacted via phone (817) 346-6748.Contact Information
Primary practice address
6500 Harris Pkwy
Fort Worth TX 76132-4136
Phone: (817) 346-6748
Fax: (817) 263-2615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | M4745 | Texas |
Profile Details
| NPI number | 1730300773 |
|---|---|
| LBN Legal business name | Crim, Randall David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | May 2nd, 2008 - about 16 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 | 1730300773 | NPPES |
| Texas | MEDICAID | 186455501 | |
| Texas | Other | 8AA591 | |
| Texas | MEDICAID | 186455502 |
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