Sturrup, Randolph William

Sturrup, Randolph William is an individual health care provider with primary practice located at 212 Grande Blvd Suite B226, Tyler TX 75703. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Sturrup, Randolph William can be contacted via phone (903) 509-4422.

Contact Information

Primary practice address
212 Grande Blvd Suite B226 Tyler TX 75703
Phone: (903) 509-4422
Fax: (903) 509-4420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 8352 Texas

Profile Details

NPI number 1740358936
LBN Legal business name Sturrup, Randolph William
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 13th, 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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