MS. Mary Elizabeth Randle, P.A.

NPI #1912203738 in Killeen, Texas

Provider Information

NPI Number: 1912203738
Entity Type: Individual
Name: MS. Mary Elizabeth Randle, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 2904 TRIMMIER RD
Address 2: PLAZA DEL SOL, SUITE 2
City: Killeen
State: Texas
ZIP Code: 76542-6038
Phone: (254) 247-0460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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