Individual
RENDALL NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
(903) 877-5080
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7200
(903) 877-5080
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP126102
TX
Other
Enumeration date
07/28/2014
Last updated
11/06/2020
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