Provider Demographics
NPI:1811187057
Name:ALBARADO, RONDEL P (MD)
Entity Type:Individual
Prefix:
First Name:RONDEL
Middle Name:P
Last Name:ALBARADO
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 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 4.284
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7244
Mailing Address - Fax:713-500-0505
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 4.284
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7244
Practice Address - Fax:713-500-0505
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0602208600000X
LA200236208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197771201Medicaid
TX8AN625OtherBCBSTX
LA1058017Medicaid
TX8L4471Medicare PIN