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Individual

RANDALL W CRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 N MACARTHUR BLVD, SUITE 750, IRVING, TX 75061-2256
(972) 759-2040
(972) 759-2045
Mailing address
11551 FOREST CENTRAL DR, SUITE 133, DALLAS, TX 75243-3920
(214) 343-8565
(214) 343-3689

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
H1941
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103840801
TX
05
103840803
TX
Enumeration date
07/05/2006
Last updated
03/09/2021
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