Provider Demographics
NPI:1679656243
Name:BROWNING, RANDALL K (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:K
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7201 W 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3900
Mailing Address - Country:US
Mailing Address - Phone:806-353-2113
Mailing Address - Fax:806-353-4270
Practice Address - Street 1:7201 W 34TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3900
Practice Address - Country:US
Practice Address - Phone:806-353-2113
Practice Address - Fax:806-353-4270
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
U52339Medicare UPIN