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Contact Information

DOMONIQUE RANDALL
26006 OAKRIDGE DR.
THE WOODLANDS, TX77380
 Phone: 832-358-2655
 Fax: 832-358-3530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DOMONIQUE RANDALL · (Female)

NPI Number 1609044783
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2008
Last updated 02/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1-00-0350
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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