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Individual

DR. MARK ALFORD RANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16951
OK
208600000X
Surgery Physician
H6529
TX
2086S0129X
Vascular Surgery Physician
16951
OK
2086S0129X
Vascular Surgery Physician
Primary
H6529
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00323J
BLUE CROSS BLUE SHIELD
TX
05
030062602
TX
05
030062603
TX
05
030062604
TX
01
8CN590
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/22/2007
Last updated
11/03/2025
Update your record

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