Individual
RANDALL DEAN STOCKSTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6250 US HWY 83/84, ABILENE, TX 79606-5215
(325) 793-5380
(325) 202-3060
Mailing address
PO BOX 7301, ABILENE, TX 79608-7301
(325) 793-5380
(325) 793-5259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E4704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062PA
BCBS IND # PAIN
TX
05
—
128080201
—
TX
05
—
128080206
—
TX
05
—
128080207
—
TX
01
—
8U7781
BCBSTX
TX
Enumeration date
10/17/2005
Last updated
07/21/2008
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