Gilmore, Randol G.

Gilmore, Randol G. is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gilmore, Randol G. can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 233984 Texas

Profile Details

NPI number 1487735932
LBN Legal business name Gilmore, Randol G.
Credentials RN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Nov 10th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487735932 NPPES
Texas Other P00001137 RR MEDICARE
Texas Other 82827U RR MEDICARE
Texas MEDICAID 2693201 RR MEDICARE

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