Organization
LUCIOUS RANDLE JR MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KEITH DONATTO DOCTOR ASSISTANT (OFFICE MANAGER)
(713) 526-1872
Entity
Organization
Contact information
Practice address
1213 HERMANN DR, SUITE 415, HOUSTON, TX 77004-7018
(713) 526-1872
(713) 526-2515
Mailing address
1213 HERMANN DR, SUITE 415, HOUSTON, TX 77004-7018
(713) 526-1872
(713) 526-2515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F4408
TX
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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