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Individual

RANDAL S. WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H1242
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36719503
TX
01
800909
BCBS
TX
Enumeration date
09/20/2006
Last updated
05/04/2010
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