Randi Bilinski
Individual provider Active NPI Physician Assistant · Kyle, TX
NPI 1124526512 · NPPES record last updated Jan 31, 2018
Key facts
- NPI
- 1124526512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 4210 Benner
Kyle, TX 78640-2230 - Phone
- (512) 298-1645
- NPI assigned
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | Yes |
Addresses
Primary practice location
4210 Benner
Kyle, TX 78640-2230
Mailing address
4210 Benner
Kyle, TX 78640-2230
Phone (512) 298-1645
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.