RANDALL C PERKINS DO NPI 1487691424

NPI Information

NPI: 1487691424
Provider Name: RANDALL C PERKINS, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3801 WILLIAM D TATE AVE STE 840
GRAPEVINE, TX
ZIP 76051
Phone: (817) 310-3772
Get Directions

Randall C Perkins, DO is a family medicine in Grapevine, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Randall C Perkins, DO NPI is 1487691424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 WILLIAM D TATE AVE STE 840
GRAPEVINE, TX
ZIP 76051-755
Phone: (817) 310-3772
Fax: (817) 310-3950

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		E3404	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8B4580	MEDICARE PIN	TEXAS
2	TXB123128	MEDICARE PIN	TEXAS
3	A67493	MEDICARE UPIN	TEXAS
4	111838205	MEDICAID	TEXAS
5	0056CD	MEDICARE PIN	TEXAS
6	8L8923	MEDICARE PIN	TEXAS
7	111838207	MEDICAID	TEXAS
8	111838204	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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