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Individual

DR. RANDOLF A BIRKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4185 TECHNOLOGY FOREST BLVD, SUITE 190, THE WOODLANDS, TX 77381-2004
(281) 893-1246
(831) 813-7462
Mailing address
4185 TECHNOLOGY FOREST BLVD, SUITE 190, THE WOODLANDS, TX 77381-2004
(281) 893-1246
(832) 813-7452

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E8332
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00ME87
BLUE CROSS
Enumeration date
02/08/2006
Last updated
09/21/2011
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