Macurak, Randal Bruce

Macurak, Randal Bruce is an individual health care provider with primary practice located at 3430 W. Wheatland Road Charlton I Pob, Suite 109, Dallas TX 75237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Macurak, Randal Bruce can be contacted via phone (972) 296-1983.

Contact Information

Primary practice address
3430 W. Wheatland Road Charlton I Pob, Suite 109 Dallas TX 75237
Phone: (972) 296-1983
Fax: (972) 296-2290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X E6132 Texas

Profile Details

NPI number 1861451502
LBN Legal business name Macurak, Randal Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 3rd, 2023 - about 2 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 1861451502 NPPES
Texas Other 83Y771 BCBSTX
Texas MEDICAID 099720702 BCBSTX

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