Individual
DR. RANDY C DANIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 PINE ST, SUITE 401A, ABILENE, TX 79601-2451
(325) 670-4000
(325) 670-4008
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F6558
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
F6558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033316301
—
TX
Enumeration date
06/20/2005
Last updated
06/03/2015
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