Individual
DR. RANDALL MERLE DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
2101 PLANTATION LN, PLANO, TX 75093-4220
(972) 202-3423
(972) 202-3423
Mailing address
PO BOX 848775, BOSTON, MA 02284-8775
(972) 202-3423
(972) 202-3423
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H8624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098446001
—
TX
Enumeration date
09/14/2006
Last updated
12/05/2023
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