Randall Medical Clinic
LBN: Gary M. Randall, D.O.,P.A.
Randall Medical Clinic is an health care organization with primary practice located at 1 Medical Center Blvd , Lufkin TX 75904-3173. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Gary M. Randall, D.O.,P.A. can be contacted via phone (936) 637-2080, or through Randall, Gary Milton via phone (936) 637-2080.
Contact Information
Primary practice address
1 Medical Center Blvd
Lufkin TX 75904-3173
Phone: (936) 637-2080
Fax: (936) 637-7917
Website:
Authorized official contact:
Name: Randall, Gary Milton Doctor of Osteopathy (DO)
Phone: (936) 637-2080
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1225046865 |
|---|---|
| LBN Legal business name | Gary M. Randall, D.O.,P.A. |
| DBA Doing business as | Randall Medical Clinic |
| Authorized official | Randall, Gary Milton Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 14th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225046865 | NPPES |
| Texas | MEDICAID | 080005401 |
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