Individual
RANDALL HOLDGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R8576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398611901
—
TX
Enumeration date
07/01/2014
Last updated
08/19/2020
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