Individual
DAVID JOSEPH RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6250 REGIONAL PLZ, SUITE 1010, ABILENE, TX 79606-5262
(325) 428-5500
(325) 428-5519
Mailing address
35 WINDMILL CIR, ABILENE, TX 79606-5234
(325) 698-4221
(325) 698-6951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H5795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133854306
—
TX
Enumeration date
10/17/2005
Last updated
07/23/2013
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