Provider Demographics
NPI:1215161369
Name:TORRENCE, RANDALL (RN, RVT, RDCS)
Entity type:Individual
Prefix:
First Name:RANDALL
Middle Name:
Last Name:TORRENCE
Suffix:
Gender:M
Credentials:RN, RVT, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93855
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79493-3855
Mailing Address - Country:US
Mailing Address - Phone:806-787-0942
Mailing Address - Fax:806-863-3888
Practice Address - Street 1:3711 22ND ST
Practice Address - Street 2:SUITE C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1303
Practice Address - Country:US
Practice Address - Phone:806-787-0942
Practice Address - Fax:806-771-3678
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31849246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography