Individual
DR. BERYL LYNN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14095 S. MAIN ST. HOUSTON, TX 77035, HOUSTON, TX 77035
(713) 426-0027
(832) 209-7186
Mailing address
2150 W 18TH ST STE 300, HOUSTON, TX 77008-1289
(713) 426-0027
(832) 209-7186
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N4026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01055463A
STATE LICENSE
IN
Enumeration date
08/06/2006
Last updated
11/05/2024
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