Individual
WHITNEY RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 794-3167
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1006992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421345601
—
TX
01
—
421345602
CSHCN
TX
Enumeration date
11/18/2020
Last updated
09/16/2021
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