Organization
MARK RANDOLPH MD PA
Active
Other names
Randolph Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B RANDOLPH M.D. (PHYSICIAN)
(512) 878-6330
Entity
Organization
Contact information
Practice address
1920 CORPORATE DR, SUITE 208, SAN MARCOS, TX 78666-6077
(512) 878-6330
(512) 878-6941
Mailing address
PO BOX 1621, SAN MARCOS, TX 78667-1621
(512) 878-6330
(512) 878-6941
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L8483
TX
Other
Enumeration date
12/20/2006
Last updated
08/17/2012
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