Provider Demographics
NPI:1316212541
Name:DURDEN, RANDI (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDI
Middle Name:
Last Name:DURDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANDI
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11301 FALLBROOK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4269
Mailing Address - Country:US
Mailing Address - Phone:281-664-0598
Mailing Address - Fax:
Practice Address - Street 1:11301 FALLBROOK DR STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-664-0598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6998208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics