Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | L0530 | TX |
Y | 207QS0010X | Family Doctor - Sports Medicine | L0530 | TX |
NPI | 1316946452 |
---|---|
Provider Name | Dr. Scott E Rand |
First Address | Houston, TX 77070-4349 |
Second Address | Houston, TX 77070-4349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 15/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041079707 | (05) | TX |
041097908 | (05) | TX |
041097909 | (05) | TX |
1658957-01 | (05) | TX |
601771109 | US DEPT OF LABOR (01) | |
616771101 | US DEPT OF LABOR (01) | |
616771105 | US DEPT OF LABOR (01) | |
616771110 | US DEPT OF LABOR (01) | |
8CK395 | BLUE CROSS BLUE SHIELD (01) | TX |
F93476 | (02) | TX |
P00904733 | RR MEDICARE (01) | TX |
P01055688 | RR MEDICARE (01) | TX |
P01258253 | MEDICARE RR (01) | TX |