Davis, Randall Thomas

Davis, Randall Thomas is an individual health care provider with primary practice located at 1609 Hospital Pkwy , Bedford TX 76022-6920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Davis, Randall Thomas can be contacted via phone (817) 359-9096.

Contact Information

Primary practice address
1609 Hospital Pkwy Bedford TX 76022-6920
Phone: (817) 359-9096
Fax: (817) 354-8969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X J0469 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J0469 Texas

Profile Details

NPI number 1427091339
LBN Legal business name Davis, Randall Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 12th, 2021 - about 4 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 1427091339 NPPES
Texas MEDICAID 135865703
Texas MEDICAID 135865705
Texas MEDICAID 135865709
Texas MEDICAID 135865701
Texas MEDICAID 135865704
Texas Other 8R1422
Texas MEDICAID 135865702
Texas MEDICAID 135865706

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