MEDICARE: DONALD A RANDOLPH, JR., MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	M1307	TX

General Provider Information

NPI Number	:	1588856728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD A RANDOLPH, JR., MD, PA

Provider Business Mailing Address
First Line	:	1015 N CARROLL AVE
Second Line	:	#2000
City	:	DALLAS
State	:	TX
Zip	:	75204-6604
Country	:	US
Telephone Number	:	214-824-7744
Fax Number	:	214-824-7755

Provider Business Practice Location Address
First Line	:	1015 N CARROLL AVE
Second Line	:	#2000
City	:	DALLAS
State	:	TX
Zip	:	75204-6604
Country	:	US
Telephone Number	:	214-824-7744
Fax Number	:	214-824-7755

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. DONALD A RANDOLPH JR.
Credential	:	M.D.
Telephone Number	:	214-824-7744

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	04/14/2008

Similar Medicare Providers

1124218748 — BRETT FRANKS OPA-C
Practice Location Address:

1015 N CARROLL AVE , #2000
DALLAS, TX
75204-6604

Practice Phone: 214-824-7744
Practice Fax: 214-988-1118

1336074020 — SHELBY GRACE JOSLIN
Practice Location Address:

3616 JANLYN LN
DALLAS, TX
75234-6604

Practice Phone: 972-965-3888
Practice Fax:

1548916117 — MRS. LEANNE ROBINSON
Practice Location Address:

4223 BRIARGROVE LN
DALLAS, TX
75287-6604

Practice Phone: 469-247-8091
Practice Fax:

1346987245 — MITZI PUEBLA
Practice Location Address:

4223 BRIARGROVE LN
DALLAS, TX
75287-6604

Practice Phone: 469-752-2800
Practice Fax:

1073238549 — CORY CAMPBELL M.S., CCC-SLP
Practice Location Address:

4223 BRIARGROVE LN
DALLAS, TX
75287-6604

Practice Phone: 469-752-2800
Practice Fax:

1043145808 — JARED HULLABY
Practice Location Address:

3133 E LEMMON AVE
DALLAS, TX
75204-1411

Practice Phone: 214-599-2108
Practice Fax:

Directions to “DONALD A RANDOLPH, JR., MD, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.