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Individual

DR. SCOTT E RAND

Active
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Individual

DR. SCOTT E RAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L0530
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
L0530
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041079707
—
TX
05
—
041097908
—
TX
05
—
041097909
—
TX
05
—
1658957-01
—
TX
01
—
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
TX
01
—
P00904733
RR MEDICARE
TX
01
—
P01055688
RR MEDICARE
TX
01
—
P01258253
MEDICARE RR
TX
Enumeration date
07/20/2005
Last updated
08/15/2016
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