MEDICARE: DR. SCOTT E RAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	L0530	TX
2	207QS0010X	Sports Medicine (Family Medicine) Physician	L0530	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P01258253	OTHER	TX	MEDICARE RR
11	P00904733	OTHER	TX	RR MEDICARE
12	P01055688	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CK395	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	601771109	OTHER		US DEPT OF LABOR
5	616771110	OTHER		US DEPT OF LABOR
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	616771101	OTHER		US DEPT OF LABOR
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	616771105	OTHER		US DEPT OF LABOR

General Provider Information

NPI Number	:	1316946452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT E RAND M.D.

Provider Business Mailing Address
First Line	:	18220 TOMBALL PKWY STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4349
Country	:	US
Telephone Number	:	281-737-0999
Fax Number	:	281-737-0926

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4349
Country	:	US
Telephone Number	:	281-737-0999
Fax Number	:	281-737-0926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/15/2016

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Directions to “ DR. SCOTT E RAND M.D.” Practice Location

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