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Individual

RANDY E PRESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
7610 HWY 71 WEST, SUITE F, AUSTIN, TX 78735
(281) 412-4434
(901) 322-6083
Mailing address
7610 HWY 71 WEST, SUITE F, AUSTIN, TX 78735
(281) 412-4434
(901) 322-6083

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP119260
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3374195
TN
01
4055168
BCBS
TN
Enumeration date
12/05/2006
Last updated
01/14/2015
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