Provider Demographics
NPI:1295350031
Name:RANDALL FEUER MD,PLLC
Entity type:Organization
Organization Name:RANDALL FEUER MD,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-336-6907
Mailing Address - Street 1:21301 KUYKENDAHL RD STE H
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2614
Mailing Address - Country:US
Mailing Address - Phone:346-336-6907
Mailing Address - Fax:346-336-6910
Practice Address - Street 1:21301 KUYKENDAHL RD STE H
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2614
Practice Address - Country:US
Practice Address - Phone:346-336-6907
Practice Address - Fax:346-336-6910
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANDALL FEUER MD,PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center