Individual
MR. RANDALL LEE SUNDERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 E 17TH ST, DEL RIO, TX 78840-7817
(830) 768-2582
(830) 768-0992
Mailing address
707 E 17TH ST, DEL RIO, TX 78840-7817
(830) 768-2582
(830) 768-0992
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TX
Other
Enumeration date
01/15/2008
Last updated
01/16/2008
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