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NPI Lookup from the NPI Registry — National Provider Identifier Database

RONALD L RANDALL JR, PA – NPI #1437161072
Medical


Contact Information

RONALD L RANDALL JR, PA
680 FM 517 RD W
DICKINSON, TX77539-3904
 Phone: 281-218-7200
 Fax: 281-218-7203
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Medical

363AM0700X
Indicates primary specialty
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NPI Information for RONALD L RANDALL JR · (Male)

NPI Number 1437161072
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/12/2006
Last updated 07/10/2012 - About 2 years ago
Sole proprietor 1 No
Identifiers
TX License # PA02579
TX Medicaid 209786701
TX Medicare (Unspecified) 8B7853
TX Medicare PIN 8L11484
TX Medicare UPIN Q14688
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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