| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073542049 | RANDALLS FOOD & DRUGS LP | 250 E PARKCENTER BLVD | BOISE | ID | 837063940 | |||
| 1366754913 | HASTY | WILLIAM | 3663 BRIARPARK DR | HOUSTON | TX | 770425205 | ||
| 1811209463 | MCKINZIE | KENNETH | 3663 BRIARPARK DR | HOUSTON | TX | 770425205 |