Samberson, Randall Ray
Samberson, Randall Ray is an sole proprietor health care provider with primary practice located at 1121 Highway 35 N , Rockport TX 78382-3112. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Samberson, Randall Ray can be contacted via phone (361) 524-2004.Contact Information
Primary practice address
1121 Highway 35 N
Rockport TX 78382-3112
Phone: (361) 524-2004
Fax: (361) 400-5312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E6598 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | E6598 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | E6598 | Texas |
Profile Details
| NPI number | 1588677801 |
|---|---|
| LBN Legal business name | Samberson, Randall Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Aug 4th, 2015 - about 9 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 | 1588677801 | NPPES |
| Texas | MEDICAID | 0356867-01 | |
| Texas | Other | 00RB70 |
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