Randell Lynn McKenzie Sr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207OR00000X Issued in TX

Practice address

3604 Alberta LN
Flower Mound, TX 75022-2957

Phone

(972) 539-9016

Fax

(972) 819-2379

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1164797304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 ALBERTA LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222957",
            "telephone_number": "972-539-9016",
            "fax_number": "972-819-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 ALBERTA LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222957",
            "telephone_number": "972-539-9016",
            "fax_number": "972-819-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "RANDELL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "207OR00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber McGill, DPT
• McHam Family Therapy LLC
• Jana Kay McHam, LMFT-S
• Kamryn McKee, DC
• Monica McKee
• Alexandra Jane McMullan, MS, PA-C
• Leslie Ellen McReynolds, LPC-ASSOCIATE
• Billie Lorraine Means, DDS
• Rebecca Meckfessel, FNP
• Med Southwest, PLLC (MyEyeDr.)

• Internal Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.