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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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