Provider Demographics
NPI:1124021373
Name:DUNN, RANDALL C (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:C
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST STE 4400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2949
Mailing Address - Country:US
Mailing Address - Phone:713-512-7900
Mailing Address - Fax:713-512-7829
Practice Address - Street 1:7900 FANNIN ST STE 4400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2949
Practice Address - Country:US
Practice Address - Phone:713-512-7900
Practice Address - Fax:713-512-7829
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8093207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83044GOtherBLUE CROSS & BLUE SHIELD
TX83044GOtherBLUE CROSS & BLUE SHIELD
TX84275JMedicare ID - Type UnspecifiedHARRIS COUNTY
TX83044GOtherBLUE CROSS & BLUE SHIELD
TX84377JMedicare ID - Type UnspecifiedFT. BEND/MONT