Mauffray, Randy Owen

Mauffray, Randy Owen is an individual health care provider with primary practice located at 800 Mccullough Ave , San Antonio TX 78215-1625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mauffray, Randy Owen can be contacted via phone (210) 226-6169.

Contact Information

Primary practice address
800 Mccullough Ave San Antonio TX 78215-1625
Phone: (210) 226-6169
Fax: (210) 226-8365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X Q6232 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Q6232 Texas

Profile Details

NPI number 1285685511
LBN Legal business name Mauffray, Randy Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285685511 NPPES
Texas MEDICAID 369304601

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