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Individual
MR. RANDY DE HOYOS
Active
Individual
MR. RANDY DE HOYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TXPA05433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044974601
—
TX
05
—
124348702
—
TX
05
—
143824401
—
TX
05
—
148060001
—
TX
05
—
86741F
—
TX
Enumeration date
06/18/2012
Last updated
01/14/2020
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