Individual ProviderRandy Lynn ParkFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address24727 State Highway 249, Suite 120, Tomball, TX 77375-7727(281) 516-0911(940) 383-3858PECOS EnrollmentBased on the most recent information from CMS, provider Randy Lynn Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1518946003Provider TypeIndividualFull NamePark, Randy LynnTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date1/12/2006Last Updated7/13/2026Contact InformationPractice LocationPractice Address24727 State Highway 249, Suite 120, Tomball, TX 77375-7727Phone(281) 516-0911Fax(281) 516-4511Mailing LocationMailing Address2040 W Oak St, Denton, TX 76201-3721Phone(940) 383-3858Fax(940) 566-0669Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseF9923TexasProvider IdentifiersIDDescriptionIssuerID930061074DescriptionOtherIssuerMEDICARE RAILROADTexasID134976306DescriptionMedicaidIssuerUnlistedTexasID89194FDescriptionOtherIssuerBCBSTexas