Individual provider · Type 1 NPI

Derrick Randdolf, MD

Family Medicine Physician · Odessa, TX

NPI number 1104205343 Active

Practice location

701 W 5th St
Odessa, TX 79763-4206

Call (432) 703-5375 Map

Fax (432) 703-5238

Mailing address

24165 W Interstate 10 Ste 202
San Antonio, TX 78257-1160

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XR4622 (TX)
Family Medicine Physician Primary 207Q00000XR4622 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104205343

Derrick Randdolf, MD's National Provider Identifier is 1104205343, issued on May 20, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Odessa, TX. The record was last updated on Feb 26, 2025.