NPI | 1891859476 |
---|---|
Doing Business As | RANDOLPH FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK B RANDOLPH Physician 512-878-6330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX L8483) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2012-08-17 |