Mr Michael Gene Randall, PTA is a
Physical Medicine & Rehabilitation physician based in Keene, Texas. Mr Michael Gene Randall is licensed to practice in Texas (license number 2040160) and his current practice location is 207 S Old Betsy Rd, Keene, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 645-8888.
NPI number for Mr Michael Gene Randall is 1760047989 and his current mailing address is 625 Broad Valley Dr, Burleson, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760047989.
Physician's Profile
| Full Name | Mr Michael Gene Randall |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 207 S Old Betsy Rd, Keene, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760047989
- Provider Enumeration Date: 05/02/2019
- Last Update Date: 05/02/2019
Medical Identifiers
Medical identifiers for Mr Michael Gene Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760047989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 2040160 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Gene Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Michael Gene Randall, PTA
625 Broad Valley Dr,
Burleson, TX 76028-6511
Ph: (817) 905-3267 | Mr Michael Gene Randall, PTA
207 S Old Betsy Rd,
Keene, TX 76059-2426
Ph: (817) 645-8888 |
Reviews and Comments