Individual
ROBERT RANDALL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP
Contact information
Practice address
802 N MINTER AVE, THROCKMORTON, TX 76483
(940) 849-2151
(940) 849-7141
Mailing address
PO BOX 545, THROCKMORTON, TX 76483
(940) 849-0629
(940) 849-7141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
572478 APN
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0149091
DPS REG
TX
Enumeration date
11/16/2006
Last updated
07/08/2007
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