Most Relevant Information
Provider Data
| NPI Number: | 1003434408 |
| Provider Name: | RANDALL JAMES BADEN ATP |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2020 |
| Last Updated: | 07/12/2020 |
Provider Practice Location
1332 UPLAND DR
HOUSTON
TX
770434719
Practice Location Phone/Fax
| Phone: | 7134680696 |
| Fax: |
Provider Mailing Location
20402 NELVA PARK CT
KATY
TX
774496187
Provider Mailing Phone/Fax
| Phone: | 8326897631 |
| Fax: |