Wolf, Randall Kevin

Wolf, Randall Kevin is an individual health care provider with primary practice located at 6550 Fannin St Ste 1401 , Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wolf, Randall Kevin can be contacted via phone (713) 441-5200.

Contact Information

Primary practice address
6550 Fannin St Ste 1401 Houston TX 77030
Phone: (713) 441-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01029011A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35-051891 Ohio
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Q3312 Texas

Profile Details

NPI number 1851369417
LBN Legal business name Wolf, Randall Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 4th, 2019 - about 6 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 1851369417 NPPES
Indiana Other P01214586 RR MEDICARE PTAN
Indiana MEDICAID 345451403 RR MEDICARE PTAN
Indiana MEDICAID 0723506 RR MEDICARE PTAN
Indiana MEDICAID 100093980 RR MEDICARE PTAN
Indiana Other P01080757 RR MEDICARE PTAN
Indiana MEDICAID 64862964 RR MEDICARE PTAN

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