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Organization

RENDEL R HOUSTON MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RENDEL R HOUSTON MD (OWNER)
(661) 723-7886
Entity
Organization

Contact information

Practice address
44725 10TH ST W, #170, LANCASTER, CA 93534-3033
(661) 723-7886
(661) 949-7746
Mailing address
44725 10TH ST W, #170, LANCASTER, CA 93534-3033
(661) 723-7886
(661) 949-7746

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G14956
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G149560
CA
01
342916021
RAILROAD MEDICARE GROUP NPI
CA
01
DN4035
RAILROAD MEDICARE GROUP PTAN
CA
01
W22035
MEDICARE PTAN
CA
Enumeration date
02/11/2008
Last updated
12/07/2009
Update your record

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