DR. BERYL LYNN RANDOLPH (NPI# 1205845393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205845393 |
| Entity Type | Individual |
| Full Name | DR. BERYL LYNN RANDOLPH |
| Credential | M.D. |
| Practice Address |
1910 Ralston Rd Suite 100 Houston TX 77013-2149 |
| Mailing Address |
1910 John Ralston Road Suite 100 Houston TX 77013 |
| Practice Telephone | 7134513030 |
| Practice Fax Number | 7134516657 |
| Mailing Telephone | 7134513030 |
| Mailing Fax Number | 7134516657 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | N4026 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 01055463A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 01055463A | 01 |
| TX | MEDICAL LICENSE | N4026 | 01 |
| IN | 200359260A | 05 |
| Street Address |
1910 RALSTON RD SUITE 100 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77013-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846168 | Ener Arbed Inc. | Assisted Living Facility | 10640 Oak Brook, Houston, TX 77013 | 2014-02-11 |
| 1215242227 | Bfa | Home Health | 414 Maxey, Houston, TX 77013 | 2010-08-13 |
| 1033390828 | Najda Mujtaba | Family Medicine | 1910 John Ralston Rd Suite 200, Houston, TX 77013 | 2007-11-20 |
| 1144314113 | Peter Thomas Manning | Dentist | 503 Maxey Rd, Houston, TX 77013 | 2006-10-03 |
| 1629636352 | East Houston Family Practice Pa | Family Medicine | 1910 John Ralston Rd, Houston, TX 77013 | 2019-05-29 |
| 1114011129 | Raul Sergio Saenz II | Dentist | 503 Maxey Rd, Houston, TX 77013 | 2006-10-03 |
| 1174971535 | Chimira Young | Nurse Practitioner | 3813 Colvin St, Houston, TX 77013-3403 | 2016-05-26 |
| 1528432192 | C&j Adult Activity Center | Clinic/Center | 3929 Colvin St, Houston, TX 77013-3405 | 2015-11-19 |
| 1558803528 | Joe Chris Delgado Jr. | Registered Nurse | 3527 La Retama Dr, Houston, TX 77013-3817 | 2016-11-08 |
| 1558821256 | Elizabeth Marie Steele Langhoff | Licensed Vocational Nurse | 12603 Coolgreen St, Houston, TX 77013-4505 | 2019-03-20 |
| Find all providers in zip 77013 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1962052605 | Sharee Anne Valencia | Obstetrics & Gynecology | 11947 North Fwy, Houston, TX 77060-1700 | 2019-09-15 |
| 1881251239 | Andrea Marie Costello | Obstetrics & Gynecology | Gme, Attn: Dottie Mersinger, 6670 Bertner Ave., R2-216, Houston, TX 77030 | 2019-05-21 |
| 1144784406 | Martha Laird | Obstetrics & Gynecology | 5618 Bankside Dr, Houston, TX 77096-6119 | 2019-01-30 |
| 1588134407 | The Women's Health Solution | Obstetrics & Gynecology | 5751 Blythewood St Ste 200, Houston, TX 77021-5404 | 2018-12-04 |
| 1720569411 | Champions Women's Center, P.a. | Obstetrics & Gynecology | 17070 Red Oak Dr Ste 400, Houston, TX 77090-2616 | 2018-08-22 |
| 1942711668 | Total Women's Care Pllc | Obstetrics & Gynecology | 2050 North Loop W Ste 130, Houston, TX 77018-8111 | 2017-10-20 |
| 1821451667 | L. Natalie Carroll, M.d. P A | Obstetrics & Gynecology | 2656 S Loop W Ste 575, Houston, TX 77054-5622 | 2016-03-30 |
| 1841652120 | Iris Alejandra Trochez Valladares | Obstetrics & Gynecology | 13215 Dotson Rd Ste 200, Houston, TX 77070-4535 | 2016-03-24 |
| 1255702544 | Leen Al-hafez | Obstetrics & Gynecology | 3105 Norfolk St, Apartment 18305, Houston, TX 77098-2916 | 2015-10-12 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.