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Individual

MR. RANDALL R SITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 618-8045
Mailing address
1202 MOUNTAIN VIEW DR, HARKER HEIGHTS, TX 76548-8024
(254) 698-4838

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03425
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296423101
TX
Enumeration date
01/09/2007
Last updated
09/04/2012
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