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Individual

MR. RANDY PAUL SCARBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
4349 CROW RD, SUITE C, BEAUMONT, TX 77706-7082
(409) 892-1222
Mailing address
4349 CROW RD, SUITE C, BEAUMONT, TX 77706-7082
(409) 892-1222

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50397
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821488206
ORGANIZATION NPI
TX
Enumeration date
04/22/2014
Last updated
10/15/2015
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