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Individual

JACQUELYN RANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
929 GESSNER RD, HOUSTON, TX 77024-2515
(713) 242-3000
Mailing address
929 GESSNER RD, HOUSTON, TX 77024-2515

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T8320
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T8320
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/06/2019
Last updated
08/02/2022
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