Urban, Randall J

Urban, Randall J is an individual health care provider with primary practice located at 400 Harborside Dr , Galveston TX 77555-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Urban, Randall J can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
400 Harborside Dr Galveston TX 77555-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G3877 Texas

Profile Details

NPI number 1205995644
LBN Legal business name Urban, Randall J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 7th, 2014 - about 12 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 1205995644 NPPES
Texas MEDICAID 129271601

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