Provider Demographics
NPI:1669451159
Name:ROBBINS, RANDY L (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:L
Last Name:ROBBINS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:14850 QUORUM DR
Mailing Address - Street 2:STE 440
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7001
Mailing Address - Country:US
Mailing Address - Phone:833-749-8324
Mailing Address - Fax:469-519-1400
Practice Address - Street 1:801 E PLANO PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6746
Practice Address - Country:US
Practice Address - Phone:972-422-5941
Practice Address - Fax:972-881-4390
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2020-02-12
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Provider Licenses
StateLicense IDTaxonomies
TXL6601207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165918705Medicaid
TX165918706Medicaid
TX165918704Medicaid
TX165918707Medicaid
TX165918705Medicaid