Organization
RANDELL R RAY PC
Active
Organization
RANDELL R RAY PC
Active
Parent organization
RANDELL R RAY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RANDELL R RAY PC
Authorized official
RANDELL R RAY O.D. (PRESIDENT)
(817) 526-5558
Entity
Organization
Contact information
Practice address
1616 W HENDERSON ST, CLEBURNE, TX 76033-4123
(817) 526-5558
(817) 526-5825
Mailing address
1420 AIRPORT FWY STE H, BEDFORD, TX 76022-6778
(817) 283-2001
(817) 283-0993
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2873TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014FG
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
09/22/2009
Last updated
05/08/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up