Erwin, David Randolph
Erwin, David Randolph is an individual health care provider with primary practice located at 2901 N 4Th St Radiology Department, Longview TX 75605-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Erwin, David Randolph can be contacted via phone (903) 663-9074.Contact Information
Primary practice address
2901 N 4Th St Radiology Department
Longview TX 75605-5128
Phone: (903) 663-9074
Fax: (903) 663-7394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | F3936 | Texas |
Profile Details
| NPI number | 1477510972 |
|---|---|
| LBN Legal business name | Erwin, David Randolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Feb 7th, 2020 - about 5 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 | 1477510972 | NPPES |
| Texas | MEDICAID | 132275205 |
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