Basic Information
Provider Information
NPI: 1477845386
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUO
FirstName: RANDY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, MBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7401 MAIN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304509
CountryCode: US
TelephoneNumber: 7137943307
FaxNumber: 2815015971
Practice Location
Address1: 7401 MAIN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304509
CountryCode: US
TelephoneNumber: 7137992300
FaxNumber: 7137943380
Other Information
ProviderEnumerationDate: 05/11/2011
LastUpdateDate: 10/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0106XR2401TXN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
2086S0105XR2401TXN Allopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
207X00000XR2401TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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