Individual
MR. RANDY J POLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 BROWN ST, EL PASO, TX 79902-7456
(915) 533-3486
(915) 532-0977
Mailing address
1725 BROWN ST, EL PASO, TX 79902-7456
(915) 533-3486
(915) 532-0977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E1712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164280001
DMERC
TX
01
—
1437131463
NATIONAL PROVIDER I D
—
Enumeration date
11/16/2005
Last updated
01/07/2008
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