Smith, Randy Lee
Smith, Randy Lee is an sole proprietor health care provider with primary practice located at 2908 Se Loop 820 , Fort Worth TX 76140-1019. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Smith, Randy Lee can be contacted via phone (817) 590-8166.Contact Information
Primary practice address
2908 Se Loop 820
Fort Worth TX 76140-1019
Phone: (817) 590-8166
Fax: (817) 590-8277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 421484921 | Texas |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Texas | |
| Suppliers / Customized Equipment | 332BC3200X | Texas | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1336173632 |
|---|---|
| LBN Legal business name | Smith, Randy Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 14th, 2016 - about 10 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 | 1336173632 | NPPES |
| Texas | MEDICAID | 1872004-03 | |
| Texas | MEDICAID | 1872004-05 | |
| Texas | MEDICAID | 1872004-01 |
Popular Providers
-
Griffeth, Michael Todd
2376 N 400 E Ste 101 , Tooele UT 84074-3413 -
Logan, Scott Allen
3205 Robinson Creek Pkwy , Huntsville TX 77340-2299 -
Edelstein, Michael Charles
3224 Grand Concourse, Suite #Ba , Bronx NY 10458 -
Lee, Laura
601 W Terrell Ave , Fort Worth TX 76104-3243 -
Harper, Spence D
190 North Main Street , Heber City UT 84032 -
Adams, Garrett Royce
8008 Camp Bowie West Blvd Ste 111 , Fort Worth TX 76116-6300 -
Hanzly, Michael Ignatius
2267 Seneca St , Buffalo NY 14210-2517 -
Soulier, Scott Martin
4578 Highland Dr Ste 380, Salt Lake City UT 84117-4243