Individual
RANDALL PAUL MAYDEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1819 DENVER WEST DR # 26-200, GOLDEN, CO 80401-3118
(303) 422-9438
Mailing address
3400 WELBORN ST, #420, DALLAS, TX 75219-5201
(469) 964-0807
(214) 363-7036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052955402
—
TX
05
—
33605
—
TX
Enumeration date
07/18/2006
Last updated
05/18/2008
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