Provider Demographics
NPI:1346997756
Name:RANDLE, PRINCESS SHEVONNE (RCP)
Entity Type:Individual
Prefix:MRS
First Name:PRINCESS
Middle Name:SHEVONNE
Last Name:RANDLE
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 680202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-0202
Mailing Address - Country:US
Mailing Address - Phone:713-518-9894
Mailing Address - Fax:
Practice Address - Street 1:7223 SANDSWEPT LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-1847
Practice Address - Country:US
Practice Address - Phone:713-518-9894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRCP00077283227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty