Individual
RANDEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 W MILLER ST, ATLANTA, TX 75551-2107
(903) 336-5761
Mailing address
502 W MILLER ST, ATLANTA, TX 75551-2107
(903) 336-5761
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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