1316946452 NPI number — DR. SCOTT E RAND M.D.

Table of content: DR. SCOTT E RAND M.D. (NPI 1316946452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316946452 NPI number — DR. SCOTT E RAND M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAND
Provider First Name:
SCOTT
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316946452
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18220 TOMBALL PKWY STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77070-4349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-737-0999
Provider Business Mailing Address Fax Number:
281-737-0926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18220 TOMBALL PKWY STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77070-4349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-737-0999
Provider Business Practice Location Address Fax Number:
281-737-0926
Provider Enumeration Date:
07/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  L0530 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QS0010X , with the licence number: L0530 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8CK395 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 041079707 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 041097909 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 601771109 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 616771110 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P01258253 . This is a "MEDICARE RR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1658957-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 616771101 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 041097908 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 616771105 . This is a "US DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00904733 . This is a "RR MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P01055688 . This is a "RR MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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