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
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