Family Practice Associates

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H5795 Issued in TX

Legal business name

FAMILY PRACTICE ASSOCIATES

Practice address

35 Windmill Cir
Abilene, TX 79606-5234

Phone

(325) 698-4221

Fax

(325) 698-6951

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Joseph Randell, D. O.,

Title

Owner

Phone

(325) 698-4221

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David J. Randell, D. O., PA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1104014463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINDMILL CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065234",
            "telephone_number": "325-698-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WINDMILL CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065234",
            "telephone_number": "325-698-4221",
            "fax_number": "325-698-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "RANDELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-698-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O.,"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "H5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133854306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932198611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J. Randell, D. O., PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Abilene, TX
• Providers in Abilene, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.