Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1218 | TX |
N | 222Z00000X | Podiatrist | 1218 | TX |
Y | 224P00000X | Prosthetist | 1218 | TX |
NPI | 1356984660 |
---|---|
Provider Name | Mr. Randall Preston Duncan |
First Address | Mckinney, TX 75071-5977 |
Second Address | Mckinney, TX 75071-5805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2019 |
Last Update Date | 21/01/2020 |