Provider Demographics
NPI:1003434408
Name:BADEN, RANDALL JAMES JR (ATP)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:JAMES
Last Name:BADEN
Suffix:JR
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20402 NELVA PARK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6187
Mailing Address - Country:US
Mailing Address - Phone:832-689-7631
Mailing Address - Fax:
Practice Address - Street 1:1332 UPLAND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4719
Practice Address - Country:US
Practice Address - Phone:713-468-0696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-12
Last Update Date:2020-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other