Individual
DR. RANDALL BARKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3600 HULEN ST, STE B-1, FT WORTH, TX 76107-6863
(817) 732-3230
(817) 732-4024
Mailing address
3600 HULEN ST, STE B-1, FT WORTH, TX 76107-6863
(817) 732-3230
(817) 732-4024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0910671
—
TX
Enumeration date
08/23/2006
Last updated
07/08/2007
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