Individual
RANDALL J SHARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22999 HIGHWAY 59 N, HUMBLE, TX 77339-4438
(281) 348-1301
(281) 348-1328
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L7555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437129079
TRICARE SOUTH
TX
05
—
163607801
—
TX
01
—
8G4112
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/25/2006
Last updated
11/02/2011
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