| Randdolf Physicians Pllc | |
|
22211 Ih 10 W Ste 1206 San Antonio TX 78257-1742 | |
| (917) 562-5727 | |
| Not Available |
| Full Name | Randdolf Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 22211 Ih 10 W Ste 1206, San Antonio, Texas |
| Authorized Official Name and Position | Derrick E. Randdolf (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9175625727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randdolf Physicians Pllc 24165 W Interstate 10 Ste 202 San Antonio TX 78257-1160 Ph: (726) 225-2290 | Randdolf Physicians Pllc 22211 Ih 10 W Ste 1206 San Antonio TX 78257-1742 Ph: (917) 562-5727 |
| NPI Number | 1386484947 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 3577003581 |
|---|---|
| Medicare Enrollment ID | O20240905001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386484947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Derrick Randdolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104205343 PECOS PAC ID: 8426348178 Enrollment ID: I20171130001563 |
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