Randdolf, Derrick

Randdolf, Derrick is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Randdolf, Derrick can be contacted via phone (432) 703-5375.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 703-5375
Fax: (432) 703-5238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4622 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R4622 Texas

Profile Details

NPI number 1104205343
LBN Legal business name Randdolf, Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated May 22nd, 2024 - about last year

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.

Request for update

Popular Providers