Individual provider · Type 1 NPI

Joshua Randles, PA-C

Medical Physician Assistant · Fort Sam Houston, TX

NPI number 1184096034 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

289 Ireland Ave
Fort Knox, KY 40121-5111

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1184096034

Joshua Randles, PA-C's National Provider Identifier is 1184096034, issued on Oct 30, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Nov 20, 2019.