Organization · Type 2 NPI
Mark Randolph MD PA
Primary Care Clinic/Center · San Marcos, TX
NPI number
1891859476
Active
Practice location
1920 Corporate Dr, Suite 208
San Marcos, TX 78666-6077
Fax (512) 878-6941
Mailing address
PO Box 1621
San Marcos, TX 78667-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | L8483 (TX) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1891859476
Mark Randolph MD PA's National Provider Identifier is 1891859476, issued on Dec 20, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Marcos, TX. The record was last updated on Aug 17, 2012.