Provider Demographics
NPI:1316946452
Name:RAND, SCOTT E (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:E
Last Name:RAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 TOMBALL PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4349
Mailing Address - Country:US
Mailing Address - Phone:281-737-0999
Mailing Address - Fax:281-737-0926
Practice Address - Street 1:18220 TOMBALL PKWY STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4349
Practice Address - Country:US
Practice Address - Phone:281-737-0999
Practice Address - Fax:281-737-0926
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0530207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CK395OtherBLUE CROSS BLUE SHIELD
TX041079707Medicaid
TX041097909Medicaid
601771109OtherUS DEPT OF LABOR
616771110OtherUS DEPT OF LABOR
TXP01258253OtherMEDICARE RR
TX1658957-01Medicaid
616771101OtherUS DEPT OF LABOR
TX041097908Medicaid
616771105OtherUS DEPT OF LABOR
TXP00904733OtherRR MEDICARE
TXP01055688OtherRR MEDICARE
TXP01055688OtherRR MEDICARE
TX302480ZSWDMedicare PIN
TX8A4524Medicare PIN
616771101OtherUS DEPT OF LABOR
TX041097909Medicaid
TX302480YMVQMedicare PIN