Individual
JAMES RANDALL RADNEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNC,NNP
Contact information
Practice address
1301 PENNSYLVANIA AVE, FT WORTH, TX 76104-2122
(817) 250-2892
Mailing address
9571 COUNTY ROAD 2440, ROYSE CITY, TX 75189-3083
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
641431
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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