Daniell, Randy C

Daniell, Randy C is an sole proprietor health care provider with primary practice located at 1924 Pine St Suite 401A, Abilene TX 79601-2451. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Daniell, Randy C can be contacted via phone (325) 670-4000.

Contact Information

Primary practice address
1924 Pine St Suite 401A Abilene TX 79601-2451
Phone: (325) 670-4000
Fax: (325) 670-4008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F6558 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F6558 Texas

Profile Details

NPI number 1528063005
LBN Legal business name Daniell, Randy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jun 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528063005 NPPES
Texas MEDICAID 033316301

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