Nelson, Randolph Alvin

Nelson, Randolph Alvin is an individual health care provider with primary practice located at 1401 St Joseph Pkwy , Houston TX 77002-8301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Nelson, Randolph Alvin can be contacted via phone (713) 757-7557.

Contact Information

Primary practice address
1401 St Joseph Pkwy Houston TX 77002-8301
Phone: (713) 757-7557
Fax: (713) 756-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L1949 Texas

Profile Details

NPI number 1508846742
LBN Legal business name Nelson, Randolph Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Sep 21st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508846742 NPPES
Texas Other 8G1501 BC/BS PROVIDER NUMBER
Texas Other 1508846742 BC/BS PROVIDER NUMBER
Texas Other 1508846742 BC/BS PROVIDER NUMBER
Texas MEDICAID 1462699-02 BC/BS PROVIDER NUMBER
Texas Other 930117290 BC/BS PROVIDER NUMBER

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