Randy Craig Randall, MD | |
1783 Troup Highway, Tyler, TX 75701 | |
(903) 595-2283 | |
(903) 595-1063 |
Full Name | Randy Craig Randall |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1783 Troup Highway, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003847716 | NPI | - | NPPES |
128175006 | Medicaid | TX | |
P00044309 | Other | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | F9993 (Texas) | Primary |
Entity Name | Aligned Providers Of East Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144632621 PECOS PAC ID: 3274758917 Enrollment ID: O20140714000201 |
Mailing Address | Practice Location Address |
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Randy Craig Randall, MD Po Box 702620, Tulsa, OK 74170-2620 Ph: (888) 608-7999 | Randy Craig Randall, MD 1783 Troup Highway, Tyler, TX 75701 Ph: (903) 595-2283 |
Ifeatu Uchenna Oti, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Preetham Reddy Muskula, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Dr. Varalaxmi Bhavani Nannaka, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 | |
David A Brickey, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Nabeel K Ahmed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Rodolfo Amaro-galvez, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838 |