Mcqueen, Brent Randall
Mcqueen, Brent Randall is an individual health care provider with primary practice located at 22741 Professional Drive , Kingwood TX 77339-6005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mcqueen, Brent Randall can be contacted via phone (281) 319-4334.Contact Information
Primary practice address
22741 Professional Drive
Kingwood TX 77339-6005
Phone: (281) 319-4334
Fax: (281) 319-4855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | J6587 | Texas |
Profile Details
NPI number | 1043216534 |
---|---|
LBN Legal business name | Mcqueen, Brent Randall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Nov 27th, 2023 - about 2 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 | 1043216534 | NPPES |
Texas | MEDICAID | 100731203 | |
Texas | MEDICAID | 100731205 | |
Texas | MEDICAID | 100731204 |
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