Smith, Randolph Todd
Smith, Randolph Todd is an individual health care provider with primary practice located at 3300 W Anderson Ln #308, Austin TX 78757-1023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Randolph Todd can be contacted via phone (512) 454-8744.Contact Information
Primary practice address
3300 W Anderson Ln #308
Austin TX 78757-1023
Phone: (512) 454-8744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M1355 | Texas |
Profile Details
| NPI number | 1710970132 |
|---|---|
| LBN Legal business name | Smith, Randolph Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Sep 26th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710970132 | NPPES |
| Texas | MEDICAID | 173981501 |
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