Individual
MS. DAWN L RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4888 LOOP CENTRAL DR, STE 540, HOUSTON, TX 77081-2227
(713) 661-8900
(713) 661-5535
Mailing address
PO BOX 20406, HOUSTON, TX 77225-0406
(713) 661-8900
(713) 661-5535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148543503
—
TX
01
—
8D5690
BCBS
TX
Enumeration date
12/20/2006
Last updated
07/27/2016
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