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Individual

RANDOLPH B. SCHIFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 4TH ST, 1C102, LUBBOCK, TX 79430-8103
(806) 743-2800
(806) 743-1668
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
K8831
TX
2084P0800X
Psychiatry Physician
Primary
K8831
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52495
PRESBYTERIAN COMMERCIAL
NM
05
52495
NM
01
82845Z
HMO BLUE
TX
01
88701S
BCBS
TX
01
A286
TRIWEST
NM
05
T9563
NM
Enumeration date
08/19/2005
Last updated
02/05/2008
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