Basic Information
Provider Information
NPI: 1154804649
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LADOR
FirstName: RAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6400 FANNIN ST STE 1700
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301526
CountryCode: US
TelephoneNumber: 7134867860
FaxNumber: 7135127244
Practice Location
Address1: 6400 FANNIN ST STE 1700
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301526
CountryCode: US
TelephoneNumber: 7134867860
FaxNumber: 7135127244
Other Information
ProviderEnumerationDate: 09/11/2018
LastUpdateDate: 07/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0117XT4545TXY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
207XS0117X0000000TXN193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine

No ID Information.


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