Dr TIFFANY KAY RANDLE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
BSA AMARILLO DIAGNOSTIC CLINIC INC
6700 W 9TH AVE
AMARILLO DIAGNOSTIC CLINIC
AMARILLO
TX
791063701
Tel: 8063580200
| Npi | 1124301197 |
| Pac Id | 5991950909 |
| Professional Enrollment Id | I20130223000019 |
| Last Name | RANDLE |
| First Name | TIFFANY |
| Middle Name | KAY |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BSA AMARILLO DIAGNOSTIC CLINIC INC |
| Group Practice Pac Id | 5294959433 |
| Number Of Group Practice Members | 24 |
| Line 1 Street Address | 6700 W 9TH AVE |
| Line 2 Street Address | AMARILLO DIAGNOSTIC CLINIC |
| Marker Of Address Line 2 Suppression | |
| City | AMARILLO |
| State | TX |
| Zip Code | 791063701 |
| Phone Number | 8063580200 |
| Hospital Affiliation Ccn 1 | 450231 |
| Hospital Affiliation Lbn 1 | BAPTIST ST ANTHONY'S HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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