Individual
DR. PATRICK DAVID RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5147 69TH ST STE D, LUBBOCK, TX 79424-1646
(806) 771-8808
(806) 771-8809
Mailing address
5147 69TH ST STE D, LUBBOCK, TX 79424-1646
(806) 771-8808
(806) 771-8809
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099265302
—
TX
Enumeration date
01/22/2007
Last updated
01/02/2024
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