Individual
DR. JAMES MICHAEL RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 NORTH ST, NACOGDOCHES, TX 75965-1372
(936) 560-6999
(936) 560-0184
Mailing address
5500 NORTH ST, NACOGDOCHES, TX 75965-1372
(936) 560-6999
(936) 560-0184
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K8445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040384201
—
TX
01
—
88720X
BLUE CROSS
TX
01
—
MDK8445
WORKERS COMPENSATION
TX
Enumeration date
08/30/2006
Last updated
09/10/2010
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