Individual
DR. RANDI D RAIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12946 DAIRY ASHFORD RD, SUITE 200, SUGAR LAND, TX 77478
(713) 256-1157
(346) 309-2331
Mailing address
12946 DAIRY ASHFORD RD, SUITE 200, SUGAR LAND, TX 77478
(713) 256-1157
(346) 309-2331
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172605101
—
TX
01
—
87100A
BCBS
TX
Enumeration date
06/07/2006
Last updated
01/09/2019
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