Organization
RANDI H BACULI MD PA
Active
Other names
RHBNeuro
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA BACULI (OFFICE MANAGER)
(972) 423-0977
Entity
Organization
Contact information
Practice address
1151 N BUCKNER BLVD STE 406, DALLAS, TX 75218-3407
(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
174400000X
Specialist
Primary
L2117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010PZ
BCBS
TX
05
—
149294403
—
TX
05
—
172916201
—
TX
01
—
7477332
AETNA
TX
01
—
P00003881
RAILROAD MEDICARE
TX
Enumeration date
07/05/2006
Last updated
05/30/2025
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