Individual
DR. RANDALL THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 HOSPITAL PKWY, BEDFORD, TX 76022-6920
(817) 359-9096
(817) 354-8969
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J0469
TX
207RX0202X
Medical Oncology Physician
J0469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135865701
—
TX
05
—
135865702
—
TX
05
—
135865703
—
TX
05
—
135865704
—
TX
05
—
135865705
—
TX
05
—
135865706
—
TX
05
—
135865709
—
TX
01
—
8R1422
BLUE CROSS OF TEXAS
TX
Enumeration date
06/14/2006
Last updated
11/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us