Daniell, Randy C
Daniell, Randy C is an sole proprietor health care provider with primary practice located at 1924 Pine St Suite 401A, Abilene TX 79601-2451. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Daniell, Randy C can be contacted via phone (325) 670-4000.Contact Information
Primary practice address
1924 Pine St Suite 401A
Abilene TX 79601-2451
Phone: (325) 670-4000
Fax: (325) 670-4008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | F6558 | Texas |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | F6558 | Texas |
Profile Details
NPI number | 1528063005 |
---|---|
LBN Legal business name | Daniell, Randy C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2005 |
Last updated | Jun 3rd, 2015 - about 9 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 | 1528063005 | NPPES |
Texas | MEDICAID | 033316301 |
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