Individual
DR. BEATRIZ LEONOR TOBON-RANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N TEXAS AVE, WEBSTER, TX 77598-4925
(281) 335-1700
(281) 335-1708
Mailing address
PO BOX 3945, DEPT 453, HOUSTON, TX 77253-3945
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H3611
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H3611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128218809
—
TX
05
—
128218813
—
TX
01
—
8J3890
BLUECROSS BLUESHIELD
TX
01
—
8S5681
BLUECROSS BLUESHIELD
TX
01
—
P00035629
RAILROAD MEDICARE
TX
01
—
P00233612
RAILROAD MEDICARE
TX
01
—
T0073230
DPS
TX
Enumeration date
10/05/2005
Last updated
03/07/2023
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