Individual
DR. RANDALL CARTER MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 BABCOCK RD STE 700, SAN ANTONIO, TX 78229-6015
(210) 593-1480
(210) 593-1483
Mailing address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6991
(210) 593-1480
(210) 593-1483
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N3168
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
N3168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219358301
—
TX
01
—
74-3003947
TAX ID
—
Enumeration date
06/18/2007
Last updated
07/13/2017
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