| NPI | 1225046865 |
|---|---|
| Doing Business As | RANDALL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARY MILTON RANDALL Physician 936-637-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-07-14 |