institution
Randi H Baculi Md Pa
Specialist in Dallas, Texas
NPI 1902837669

Randi H Baculi Md Pa is a Specialist based in Plano, TX. Randi H Baculi Md Pa practices in Dallas, TX. The NPI Number for Randi H Baculi Md Pa is 1902837669 and holds a License No. L2117 (Texas).

The current practice location address for Randi H Baculi Md Pa is 1151 N Buckner Blvd, Dallas, TX and can be reached out via phone at 972-423-0977 and via fax at 972-578-1867.

Location: 1151 N Buckner Blvd, Dallas, TX, 75074-4858
institution
Provider Profile Details
NPI Number
1902837669
Provider Name
Randi H Baculi Md Pa
Credential
Provider Entity Type
Organization
Address
1151 N Buckner Blvd, Dallas, TX, 75074-4858
Phone Number
972-423-0977
Fax Number
972-578-1867
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010PZ 01 TX BCBS
149294403 05 TX
7477332 01 TX AETNA
172916201 05 TX
P00003881 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1151 N Buckner Blvd
City
State
Zip
75218-3426
Phone Number
972-423-0977
Fax Number
972-578-1867
person
Provider Business Mailing Address Details
Address
1151 N Buckner Blvd
City
State
Zip
75218-3426
Phone Number
972-423-0977
Fax Number
972-578-1867
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
L2117 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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