NPI 1033440516

Anthony Casey Randolph

Practitioner Certified Registered Nurse Anesthetist Fort Worth, TX

Practice location

Address: 1500 S Main St, Fort Worth, TX 76104-4917
Phone: (817) 920-6864
Mailing address: 1613 N. Harrison Parkway Suite 200, Sunrise, FL 33323-2853

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 723910 (TX)

Other Nurse Anesthetist, Certified Registered providers in Texas →

Registry record

NPI: 1033440516
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2010
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.