Individual provider · NPI-1
Randi Herbolario Baculi, MD
Psychiatry & Neurology, Neurology · Plano, TX
NPI number1801854914
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1801854914
- Entity type
- Individual (NPI-1)
- Name
- Randi Herbolario Baculi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | L2117 | TX | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | CI0006180 | DE | |
| 2084N0008X | Psychiatry & Neurology, Neuromuscular Medicine | 102027 | WI |
Practice location
2504 Figtree LnPlano, TX 75074-4858
Phone 972-423-0977 · Fax 972-578-1867
Mailing address
2504 Figtree LnPlano, TX 75074-4858
Phone 972-423-0977 · Fax 972-578-1867
Other practice locations
1000 N Oak Ave
Marshfield, WI 54449-5703
Marshfield, WI 54449-5703
Phone 715-387-5511
9 Medical Pkwy
Dallas, TX 75234-7858
Dallas, TX 75234-7858
Phone 972-423-0977 · Fax 972-578-1867
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