| Randy Dwayne Herring MD PA | |
|
204 E 16th St Suite B Dalhart TX 79022-4845 | |
| (806) 244-1013 | |
| (806) 244-1032 |
| Full Name | Randy Dwayne Herring MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 204 E 16th St, Dalhart, Texas |
| Authorized Official Name and Position | Randy Dwayne Herring (OWNER/PRESIDENT) |
| Authorized Official Contact | 8062441013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Dwayne Herring MD PA 204 E 16th St Suite B Dalhart TX 79022-4845 Ph: (806) 244-1013 | Randy Dwayne Herring MD PA 204 E 16th St Suite B Dalhart TX 79022-4845 Ph: (806) 244-1013 |
| NPI Number | 1598935033 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598935033 | NPI | - | NPPES |
| 115037102 | Other | FIRST CARE | |
| 0062BS | Other | BCBS | |
| 080112685 | Other | MEDICARE RAILROAD | |
| 677202 | Other | CAMBRIDGE | |
| 096789502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J8574 (Texas) | Primary |
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