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Organization
RANDALL L. SLOAN, D.O., PLLC
Active
Organization
RANDALL L. SLOAN, D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L. SLOAN D.O. (OWNER)
(325) 456-8434
Entity
Organization
Contact information
Practice address
614 EAKER, EDEN, TX 76837-0987
(325) 456-8434
(325) 869-5218
Mailing address
PO BOX 205, EDEN, TX 76837-0205
(325) 456-8434
(325) 869-5218
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G2278
TX
207Q00000X
Family Medicine Physician
Primary
G2278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140227301
—
TX
Enumeration date
05/14/2013
Last updated
09/12/2013
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