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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details 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 4 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
Hospital affiliation(s) n/a
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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