Individual
RANDIE JOSEPH MACUTO ARENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 713-9000
Mailing address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 713-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP127010
TX
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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