Provider Demographics
NPI:1346620317
Name:HALLMARK, RANDEE (FNP)
Entity Type:Individual
Prefix:
First Name:RANDEE
Middle Name:
Last Name:HALLMARK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E TAYLOR ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2832
Mailing Address - Country:US
Mailing Address - Phone:903-957-1104
Mailing Address - Fax:903-957-1105
Practice Address - Street 1:600 E TAYLOR ST STE 201
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2832
Practice Address - Country:US
Practice Address - Phone:903-957-1104
Practice Address - Fax:903-957-1105
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily