Randell, David Joseph
Randell, David Joseph is an sole proprietor health care provider with primary practice located at 6250 Regional Plz Suite 1010, Abilene TX 79606-5262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Randell, David Joseph can be contacted via phone (325) 428-5500.Contact Information
Primary practice address
6250 Regional Plz Suite 1010
Abilene TX 79606-5262
Phone: (325) 428-5500
Fax: (325) 428-5519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H5795 | Texas |
Profile Details
| NPI number | 1932198611 |
|---|---|
| LBN Legal business name | Randell, David Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 23rd, 2013 - about 12 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 | 1932198611 | NPPES |
| Texas | MEDICAID | 133854306 |
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