Individual
MACIE RANDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
605 BELKNAP PL, SAN ANTONIO, TX 78212-3413
(210) 738-1636
(210) 450-2474
Mailing address
23104 DOUBLE BOGEY, SAN ANTONIO, TX 78261-3112
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
943133
TX
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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