Mark Randolph MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L8483 Issued in TX

Legal business name

MARK RANDOLPH MD PA

Practice address

1920 Corporate Dr
Suite 208
San Marcos, TX 78666-6077

Phone

(512) 878-6330

Fax

(512) 878-6941

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Randolph, M.D.

Title

Physician

Phone

(512) 878-6330

Specialties & licenses 1

Addresses

Other names 1

• Randolph Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1891859476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1621",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671621",
            "telephone_number": "512-878-6330",
            "fax_number": "512-878-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR",
            "address_2": "SUITE 208",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666077",
            "telephone_number": "512-878-6330",
            "fax_number": "512-878-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK RANDOLPH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-878-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petra Mann, LPC
• Shannon Marek, M.D.
• Anna Yaredy Mares Melendez, M.S., CCC-SLP
• Gina E Margiotta, COTA
• Mark McDonnell DPM PA
• Kathryn Markham, CCC-SLP
• Allison Marsh, MD
• Ashley M Martin, PMHNP-BC
• Billie Karen Martin, PA
• Meghan Brianne Martin

• Primary Care Clinic/Center in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.