Individual
DR. LUCIOUS RANDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 HERMANN DR STE 415, HOUSTON, TX 77004-7010
(713) 526-1872
(713) 526-2515
Mailing address
1213 HERMANN DR STE 415, HOUSTON, TX 77004-7010
(713) 526-1872
(713) 526-2515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
760064288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974123-01
—
TX
Enumeration date
07/06/2006
Last updated
07/08/2007
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