| Patrick D Randolph Phd Inc | |
|
5147 69th St Ste D Lubbock TX 79424-1646 | |
| (806) 771-8808 | |
| (806) 771-8809 |
| Full Name | Patrick D Randolph Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5147 69th St Ste D, Lubbock, Texas |
| Authorized Official Name and Position | Stephanie Stimac (OFFICE MANAGER) |
| Authorized Official Contact | 8067718808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick D Randolph Phd Inc 5147 69th St Ste D Lubbock TX 79424-1646 Ph: (806) 771-8808 | Patrick D Randolph Phd Inc 5147 69th St Ste D Lubbock TX 79424-1646 Ph: (806) 771-8808 |
| NPI Number | 1740267285 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 7810054632 |
|---|---|
| Medicare Enrollment ID | O20090324000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740267285 | NPI | - | NPPES |
| 0095MQ | Other | TX | BLUE CROSS BLUE SHIELD |
| 0992653 | Medicaid | TX | |
| 95074732 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 24796 (Texas) | Primary |
| Provider Name | Patrick D Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013060946 PECOS PAC ID: 3971584137 Enrollment ID: I20040525001193 |
| Provider Name | George D Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720007685 PECOS PAC ID: 3173580529 Enrollment ID: I20041216000840 |
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