Individual
MATTHEW RANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4106 MARATHON BLVD STE A, AUSTIN, TX 78756-3746
(512) 407-9215
Mailing address
4527 N LAMAR BLVD APT 6107, AUSTIN, TX 78751-2381
(303) 525-0529
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81611
TX
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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