Randy Craig Randall
Internist - Cardiovascular Disease
1783 Troup Highway
Tyler
, Texas 75701
Randy Craig Randall
Internist - Cardiovascular Disease
1783 Troup Highway
Tyler
, Texas 75701
(512) 331-1605
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Randy Craig Randall
- Po Box 702620
- Tulsa, OK
- Zip : 74170-2620
- Fax : (512) 331-1605
- Phone : (888) 608-7999
Second Address
- Randy Craig Randall
- 1783 Troup Highway
- Tyler, TX
- Zip : 75701
- Fax : (903) 595-1063
- Phone : (903) 595-2283
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | F9993 | TX |
National Provider Identifier
| NPI | 1003847716 |
|---|---|
| Provider Name | Randy Craig Randall |
| First Address | Tulsa, OK 74170-2620 |
| Second Address | Tyler, TX 75701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 07/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 128175006 | (05) | TX |
| C20844 | (02) | |
| P00044309 | MEDICARE RR (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.