Randall M. Goldblum
Pediatric Allergist
301 University Blvd
Galveston
, Texas 77555-1022
Randall M. Goldblum
Pediatric Allergist
301 University Blvd
Galveston
, Texas 77555-1022
(409) 772-0885
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Randall M. Goldblum
- 301 University Blvd
- Galveston, TX
- Zip : 77555-1022
- Fax : (409) 772-0885
- Phone : (409) 772-0817
Second Address
- Randall M. Goldblum
- 301 University Blvd
- Galveston, TX
- Zip : 77555-1022
- Fax : (409) 772-0885
- Phone : (409) 772-0817
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | D6007 | TX |
National Provider Identifier
| NPI | 1700978483 |
|---|---|
| Provider Name | Randall M. Goldblum |
| First Address | Galveston, TX 77555-1022 |
| Second Address | Galveston, TX 77555-1022 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 128756701 | (05) | TX |
| B23049 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.