Individual
BREANNA JOYCE ELLEN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2618
(281) 440-6960
(281) 440-6205
Mailing address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2618
(281) 440-6960
(281) 440-6205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09038
TX
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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