Individual
RANDALL C. BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SPURS LN, STE 230B, SAN ANTONIO, TX 78240-1669
(210) 690-7400
(210) 690-7405
Mailing address
4458 MEDICAL DR, STE 505, SAN ANTONIO, TX 78229-3748
(210) 690-7400
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G0352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110171901
—
TX
05
—
110171902
—
TX
05
—
110171904
—
TX
05
—
7422975977822902
—
IL
01
—
8L3550
INDIVIDUAL MEDICARE PTAN
TX
01
—
P00650984
RAILROAD MEDICARE PTAN
TX
Enumeration date
07/07/2005
Last updated
06/27/2019
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