Individual
RANDOLPH CLAUDE SOSOLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1209 BROOK AVE, WICHITA FALLS, TX 76301-5601
(940) 322-7284
(940) 322-8938
Mailing address
1107 BROOK AVE, WICHITA FALLS, TX 76301-5008
(940) 322-8800
(940) 322-8833
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
M2124
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S9310
BLUE CROSS
TX
Enumeration date
12/13/2005
Last updated
02/22/2008
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