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1235136938
RANDY WALLACE SMITH
COLLEGE STATION, TX
NPI
1235136938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX G3802)
Enumeration Date
2005-07-07
Last Update Date
2014-02-14
Business Address
Dr. RANDY WALLACE SMITH M.D.
1602 ROCK PRAIRIE RD #430
COLLEGE STATION, TX 77845-8306
Phone number: 979-693-0737
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Mailing Address
Dr. RANDY WALLACE SMITH M.D.
1602 ROCK PRAIRIE RD #430
COLLEGE STATION, TX 77845-8306
Phone number: 979-693-0737
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