Individual
HEATHER LYNN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1724 CAPROCK RDG, HELOTES, TX 78023-3046
(405) 714-2901
Mailing address
1724 CAPROCK RDG, HELOTES, TX 78023-3046
(405) 714-2901
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99309
TX
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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