Johnson, Randall William
Johnson, Randall William is an individual health care provider with primary practice located at 9201 Pinecroft Dr , The Woodlands TX 77380-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Johnson, Randall William can be contacted via phone (281) 297-6476.Contact Information
Primary practice address
9201 Pinecroft Dr
The Woodlands TX 77380-3222
Phone: (281) 297-6476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | K4719 | Texas |
Profile Details
| NPI number | 1295821577 |
|---|---|
| LBN Legal business name | Johnson, Randall William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jan 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295821577 | NPPES |
| Texas | MEDICAID | 149140901 |
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