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Individual

ERICA S RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
8330 ABRAMS RD STE 112, DALLAS, TX 75243
(214) 342-4400
(214) 342-4401
Mailing address
122 W JOHN CARPENTER FWY STE 420, IRVING, TX 75039-2014
(972) 957-3000
(972) 957-3005

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP131559
TX

Other

Enumeration date
09/28/2016
Last updated
07/23/2018
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