person
Diane R. Randolph, FNP-BC
Family Nurse Practitioner in Dallas, Texas
NPI 1376776344

Diane R. Randolph is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Diane R. Randolph practices in Dallas, TX and has the professional credentials of FNP-BC. The NPI Number for Diane R. Randolph is 1376776344 and holds a License No. 243698 (Texas).

The current practice location address for Diane R. Randolph is 3600 Gaston Ave, Dallas, TX and can be reached out via phone at 214-820-8500 and via fax at 214-820-8168.

Location: 3600 Gaston Ave, Dallas, TX, 75246-1800
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Provider Profile Details
NPI Number
1376776344
Provider Name
Diane R. Randolph
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3600 Gaston Ave, Dallas, TX, 75246-1800
Phone Number
214-820-8500
Fax Number
214-820-8168
Provider Enumeration Date
08/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205998201 05 TX
205998202 05 TX
institution
Provider Business Practice Location Address Details
Address
3600 Gaston Ave
City
State
Zip
75246-1800
Phone Number
214-820-8500
Fax Number
214-820-8168
person
Provider Business Mailing Address Details
Address
3600 Gaston Ave
City
State
Zip
75246-1800
Phone Number
214-820-8500
Fax Number
214-820-8168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
243698 (Texas)
Definition
Definition to come...
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