Individual
RANDI HERBOLARIO BACULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 N BUCKNER BLVD BLDG 1, DALLAS, TX 75218-3426
(972) 423-0977
(972) 578-1867
Mailing address
2504 FIGTREE LN, PLANO, TX 75074-4858
(972) 423-0977
(972) 578-1867
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
102027
WI
2084N0400X
Neurology Physician
01051720A
IN
2084N0400X
Neurology Physician
CI0006180
DE
2084N0400X
Neurology Physician
Primary
L2117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149294403
—
TX
05
—
149294404
—
TX
01
—
7477332
AETNA
—
01
—
8AJ227
BCBS
TX
Enumeration date
05/01/2006
Last updated
11/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us