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NPI Code Detail

MEDICARE: RANDY HEAD, MD, APMC

MEDICARE: RANDY HEAD, MD, APMC
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
1207Q00000XFamily Medicine Physician022410LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2022410OTHERLASTATE LICENSE

General Provider Information

NPI Number : 1750468005
Entity Type Code : Organization
Provider Name (Legal Business Name) : RANDY HEAD, MD, APMC
Provider Business Mailing Address
First Line : 1470 GARRETT RD
Second Line :
City : MONROE
State : LA
Zip : 71202-3913
Country : US
Telephone Number : 318-387-3888
Fax Number : 318-324-8967
Provider Business Practice Location Address
First Line : 1470 GARRETT RD
Second Line :
City : MONROE
State : LA
Zip : 71202-3913
Country : US
Telephone Number : 318-387-3888
Fax Number : 318-324-8967
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. RANDY W HEAD I
Credential : M.D.
Telephone Number : 318-387-3888
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/20/2008

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