Individual
DR. RANDAL BRUCE MACURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3430 W. WHEATLAND ROAD, CHARLTON I POB, SUITE 109, DALLAS, TX 75237
(972) 296-1983
(972) 296-2290
Mailing address
8267 ELMBROOK DR STE 200, DALLAS, TX 75247-4078
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E6132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099720702
—
TX
01
—
83Y771
BCBSTX
TX
Enumeration date
03/21/2006
Last updated
05/03/2023
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