Individual
RANDOLPH ALVIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 ST JOSEPH PKWY, HOUSTON, TX 77002-8301
(713) 757-7557
(713) 756-5922
Mailing address
2606 IRIS CT, PEARLAND, TX 77584-9400
(281) 412-9026
(281) 412-4195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L1949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462699-02
—
TX
01
—
1508846742
BCBSTX
TX
01
—
8G1501
BC/BS PROVIDER NUMBER
TX
01
—
930117290
RAILROAD MEDICARE PROV #
TX
Enumeration date
01/21/2006
Last updated
09/21/2010
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