Individual
DR. RANDALL FREDERICK DRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G4110
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G4110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113904002
—
TX
01
—
200027195
MEDICARE RAILROAD
—
Enumeration date
07/05/2005
Last updated
08/06/2024
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