Perkins, Randall C

Perkins, Randall C is an individual health care provider with primary practice located at 3801 William D Tate Ave Ste 840 , Grapevine TX 76051-8755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perkins, Randall C can be contacted via phone (817) 310-3772.

Contact Information

Primary practice address
3801 William D Tate Ave Ste 840 Grapevine TX 76051-8755
Phone: (817) 310-3772
Fax: (817) 310-3950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3404 Texas

Profile Details

NPI number 1487691424
LBN Legal business name Perkins, Randall C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487691424 NPPES
Texas MEDICAID 111838207
Texas MEDICAID 111838205
Texas MEDICAID 111838204

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