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Contact Information

RANDI H BACULI, MD
1151 N BUCKNER BLVD BLDG 1
DALLAS, TX75218-3426
 Phone: 972-423-0977
 Fax: 972-578-1867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RANDI H BACULI · (Male)

NPI # 1801854914
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 11/21/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • DE License # CI0006180
  • IN License # 01051720A
  • TX License # L2117
  • WI License # 102027
  • TX Medicaid 149294403
  • TX Medicaid 149294404
  • Other 7477332 AETNA
  • TX Other 8AJ227 BCBS
Hospital affiliation(s) Not Available
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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