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Organization
RANDY DWAYNE HERRING MD PA
Active
Organization
RANDY DWAYNE HERRING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DWAYNE HERRING MD (OWNER/PRESIDENT)
(806) 244-1013
Entity
Organization
Contact information
Practice address
204 E 16TH ST, SUITE B, DALHART, TX 79022-4845
(806) 244-1013
(806) 244-1032
Mailing address
204 E 16TH ST, SUITE B, DALHART, TX 79022-4845
(806) 244-1013
(806) 244-1032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062BS
BCBS
—
01
—
080112685
MEDICARE RAILROAD
—
05
—
096789502
—
TX
01
—
115037102
FIRST CARE
—
01
—
677202
CAMBRIDGE
—
Enumeration date
03/11/2008
Last updated
12/29/2015
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