Gary M. Randall, D.O.,P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARY M. RANDALL, D.O.,P.A.

Doing business as

Randall Medical Clinic

Practice address

1 Medical Center Blvd
Lufkin, TX 75904-3173

Phone

(936) 637-2080

Fax

(936) 637-7917

NPI assigned

Aug 3, 2006

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Milton Randall, D.O.

Title

Physician

Phone

(936) 637-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randall Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1225046865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-637-2080",
            "fax_number": "936-637-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-637-2080",
            "fax_number": "936-637-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M. RANDALL, D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-637-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080005401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randall Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Garcia
• Norma Patricia Garcia, LPC
• Staci Lynn Garner, LPC
• Derek Rex Garrison, PHARMD
• Patricia Michelle Gartman
• Gaslight Ambulatory Surgery Center LP (The Surgery Center at Gaslight Medical Park)
• Genoa Healthcare LLC
• Helene M Gensheimer, APN
• Sushil George, MD
• Gerald R Garwood DO PA

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.