| Dr Patrick David Randolph, PHD | |
|
5147 69th St Ste D, Lubbock, TX 79424-1646 | |
| (806) 771-8808 | |
| (806) 771-8809 |
| Full Name | Dr Patrick David Randolph |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 34 Years |
| Location | 5147 69th St Ste D, Lubbock, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013060946 | NPI | - | NPPES |
| 099265302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 24796 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patrick D Randolph Phd Inc | 7810054632 | 2 |
| Entity Name | Patrick D Randolph Phd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740267285 PECOS PAC ID: 7810054632 Enrollment ID: O20090324000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick David Randolph, PHD 5147 69th St Ste D, Lubbock, TX 79424-1646 Ph: (806) 771-8808 | Dr Patrick David Randolph, PHD 5147 69th St Ste D, Lubbock, TX 79424-1646 Ph: (806) 771-8808 |
Dr. Michael J Ratheal, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5502 58th St, #600, Lubbock, TX 79414 Phone: 806-792-3808 Fax: 806-792-1506 | |
Dr. King Landiss Buchanan Ii, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 8008 Slide Rd, Lubbock, TX 79424 Phone: 806-798-8855 | |
Austin P. Wade, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Flint Ave, Lubbock, TX 79409 Phone: 806-742-3674 | |
Emily Catherine Pali, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-725-4878 | |
Shelby B Daniel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5301 13th St, Lubbock, TX 79416 Phone: 940-636-2184 | |
Dr. Stephen Cook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18th & Boston, #111a, Lubbock, TX 79409 Phone: 806-742-3737 Fax: 806-742-3799 |