Individual
MRS. REBEKAH LYNNE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4100 DUVAL RD, AUSTIN, TX 78759-3456
(512) 346-3224
Mailing address
4100 DUVAL RD BLDG 2 SUITE 100, AUSTIN, TX 78759-3456
(512) 346-3224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
730024
TX
367A00000X
Advanced Practice Midwife
Primary
AP135396
TX
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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