Individual
DR. RANDALL LEE GRUBBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PENNSYLVANIA AVE, OFFICE OF NEONATOLOGY, FORT WORTH, TX 76104-2122
(817) 882-2892
(817) 878-5335
Mailing address
1301 PENNSYLVANIA AVE, OFFICE OF NEONATOLOGY, FORT WORTH, TX 76104-2122
(817) 882-2892
(817) 878-5335
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
L9220
TX
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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