Doctor Name: | RANDY CRAIG RANDALL |
NPI Number: | 1003847716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | F9993 |
Business Practice Address: | 1783 Troup Highway Tyler, TX - 75701 |
Business Phone Number: | 9035952283 |
Business Fax Number: | 9035951063 |
Mailing Address: | Po Box 702620, TULSA |
State: | OK |
Postal Code: | 741702620 |
Phone Number: | 8886087999 |
Fax Number: | 5123311605 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | F9993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |