| Doctor Name: | JAMES RANDALL RADNEDGE |
| NPI Number: | 1124178660 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RNC,NNP |
| License Number: | 641431 |
| Business Practice Address: | 1301 Pennsylvania Ave Ft Worth, TX - 761042122 |
| Business Phone Number: | 8172502892 |
| Business Fax Number: | |
| Mailing Address: | 9571 County Road 2440, ROYSE CITY |
| State: | TX |
| Postal Code: | 751893083 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | 641431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |