RANDI H BACULI MD PA
Medical Practice at Buckner Blvd, Dallas, TX

License number
Texas L2117
Category
Medical Practice
Type
Specialist
Owner
Name: LORNA BACULI
Title: OFFICE MANAGER
Phone: (972) 423-0977
Address
Address 2
1151 N Buckner Blvd, Dallas, TX 75218
2504 Figtree Ln, Plano, TX 75074
National Provider ID: 1902837669
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDI H. BACULI, M.D., PA

2504 Figtree Ln, Plano, TX 75074

Doing business as:
Randi H. Baculi, M.D., PA<br>Rowlett Neurology Clinic
Registration:
Oct 2, 2001
State ID:
0800016447
Business type:
Professional Association
Director, Member, President:
Randi H. Baculi (Director, Member, President)
Agent:
Baculi H Randi,2504 Figtree Ln, Plano, TX 75074 (Physical)
TIN:
32035962029

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