LORENZO RANDALL (NPI# 1558780924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558780924 |
| Entity Type | Individual |
| Full Name | LORENZO RANDALL |
| Practice Address |
33518 Haley Rd Ste 1 Waller TX 77484-5110 |
| Mailing Address |
Po Box 1577 Waller TX 77484-1577 |
| Practice Telephone | 8883442947 |
| Practice Fax Number | 2816224381 |
| Mailing Telephone | 8883442947 |
| Mailing Fax Number | 2816224381 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
CNIM 2902 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
33518 HALEY RD STE 1 |
| City | WALLER |
| State | TX |
| Zip Code | 77484-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992124366 | Jason Vogel | Specialist/Technologist, Other | 33518 Haley Rd Ste 1, Waller, TX 77484-5110 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687195 | Engedi Pest Control Inc | Contractor | 30292 Fm 1488, Waller, TX 77484 | 2019-12-27 |
| 1639648165 | Samantha Shea Hatfield | Licensed Vocational Nurse | 23260 Robertson Lane, Waller, TX 77484 | 2018-11-14 |
| 1053802496 | Patience Afokailu Akpobome | Nurse Practitioner | Gmw Health 31315 Fm 2920 Rd Suite 3, Waller, TX 77484 | 2018-05-22 |
| 1346696200 | Desirray Johnson | Student in an Organized Health Care Education/Training Program | 43702 Hwy Business 290, Waller, TX 77484 | 2016-05-10 |
| 1154658268 | Kristen Jill Bruggeman | Physical Therapist | 33002 Grove Park Drive, Waller, TX 77484 | 2009-11-10 |
| 1457513707 | Heavenly Delight Loving Care | Exclusive Provider Organization | 2302 Penick Rd., Waller, TX 77484 | 2008-06-27 |
| 1578738704 | Kathleen A Hafner | Technician/Technologist | 31090 Lazy Ridge, Kats Eye Shop, Waller, TX 77484 | 2008-04-29 |
| 1003908088 | Lionel Joseph Fourrier Jr. | Dentist | 2619 Washington Ave, Waller, TX 77484 | 2006-09-28 |
| 1144581927 | Jg Works LLC | In Home Supportive Care | 40688 Hwy 290 Bus, Waller, TX 77484-0845 | 2012-06-07 |
| 1922206044 | Rosemary L Slade | Occupational Therapist | 31254 Strathmore Rd, Waller, TX 77484-3857 | 2007-07-10 |
| Find all providers in zip 77484 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992124366 | Jason Vogel | Specialist/Technologist, Other | 33518 Haley Rd Ste 1, Waller, TX 77484-5110 | 2014-04-14 |
| 1689936734 | Rachel Odwyer | Specialist/Technologist, Other | 33518 Haley Rd, # 1, Waller, TX 77484-5110 | 2012-06-14 |
| 1235463399 | Anthony Guy Pizzino | Specialist/Technologist, Other | 33518 Haley Rd # 1, Waller, TX 77484-5110 | 2009-09-22 |
| 1194279943 | Melanie Oslund-goldberg | Specialist/Technologist, Other | 33518 Haley Rd, #1, Waller, TX 77484-5110 | 2016-08-10 |
| 1891187076 | Ian O'fallon | Specialist/Technologist, Other | 33518 Haley Rd # 1, Waller, TX 77484-5110 | 2015-02-25 |
| 1164826103 | Kristina Port | Specialist/Technologist, Other | 33518 Haley Rd # 1, Waller, TX 77484-5110 | 2014-10-20 |
| 1801221585 | Casey Strander | Specialist/Technologist, Other | 33518 Haley Rd, Suite 1, Waller, TX 77484-5110 | 2013-09-12 |
| 1851736896 | Catherine Killinger Quinn | Specialist/Technologist, Other | 33518 Haley Rd, Suite 1, Waller, TX 77484-5110 | 2013-05-03 |
| 1619239761 | Jennifer St. Onge | Specialist/Technologist, Other | 33518 Haley Rd, # 1, Waller, TX 77484-5110 | 2012-06-14 |
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|---|---|---|---|---|
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| 1902411556 | Natalie Lily Avshman | Specialist/Technologist, Other | 10410 Legacy Cv, San Antonio, TX 78240-4421 | 2020-09-10 |
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1427661347 | Trumed Health Partners, LLC | Specialist/Technologist, Other | 5899 Preston Rd Ste 303, Frisco, TX 75034-9588 | 2020-08-29 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1790301216 | Kenslie A Dews | Specialist/Technologist, Other | 114 Dews Dr, Whitehouse, TX 75791-5002 | 2020-06-20 |
| 1578198990 | Iom Opi LLC | Specialist/Technologist, Other | 3080 E Lakeside Dr, Beaumont, TX 77707-2400 | 2020-03-05 |
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1114552627 | Caretact Management, LLC | Specialist/Technologist, Other | 5407 Southern Oaks, San Antonio, TX 78261-2485 | 2020-03-04 |
| 1063043503 | Forefront Medical Solutions, LLC. | Specialist/Technologist, Other | 7401 Boca Raton Dr, North Richland Hills, TX 76182-3265 | 2020-02-03 |
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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.