Stockstill, Randall Dean

Stockstill, Randall Dean is an sole proprietor health care provider with primary practice located at 6250 Us Hwy 83/84 , Abilene TX 79606-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stockstill, Randall Dean can be contacted via phone (325) 793-5380.

Contact Information

Primary practice address
6250 Us Hwy 83/84 Abilene TX 79606-5215
Phone: (325) 793-5380
Fax: (325) 202-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E4704 Texas

Profile Details

NPI number 1265421804
LBN Legal business name Stockstill, Randall Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Jul 21st, 2008 - about 17 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 1265421804 NPPES
Texas MEDICAID 128080201
Texas Other 8U7781
Texas Other 0062PA
Texas MEDICAID 128080206
Texas MEDICAID 128080207

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