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Individual
RANDI L JONES
Active
Individual
RANDI L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780745679
NPI
TX
01
—
714778
MEDICARE PART B
TX
01
—
835N04
BCBS TX 02/01/2011
TX
01
—
8Y1403
BC/BS TEXAS
TX
01
—
P00453355
RAILROAD MEDICARE
TX
01
—
P00954314
RAILROAD MEDICARE
TX
01
—
TXB120921
MEDICARE PART B - EFFECT 02/01/2011
TX
Enumeration date
12/13/2006
Last updated
05/15/2026
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