Individual
MADISON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 N STATE HIGHWAY 161 STE 330, IRVING, TX 75038-2220
(972) 258-7462
Mailing address
6161 N STATE HIGHWAY 161 STE 330, IRVING, TX 75038-2220
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1138826
TX
Other
Enumeration date
10/31/2023
Last updated
06/19/2025
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