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NPI Code Detail

MEDICARE: ERIC S. RANDECKER

MEDICARE: ERIC S. RANDECKER
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
1246RP1900XPhlebotomy TechnicianR8K8C6Y8TX

General Provider Information

NPI Number : 1366379034
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC S. RANDECKER
Provider Business Mailing Address
First Line : 2950 NORTH LOOP W STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8830
Country : US
Telephone Number : 210-551-4244
Fax Number : 210-551-4244
Provider Business Practice Location Address
First Line : 2950 NORTH LOOP W STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8830
Country : US
Telephone Number : 210-551-4244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ ERIC S. RANDECKER ” Practice Location

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