Provider Demographics
NPI:1932919511
Name:RANDALL, CLAIRE MADSEN (LM)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MADSEN
Last Name:RANDALL
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N HOUSTON AVE # A
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4132
Mailing Address - Country:US
Mailing Address - Phone:830-609-9880
Mailing Address - Fax:830-515-5546
Practice Address - Street 1:712 N HOUSTON AVE # A
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4132
Practice Address - Country:US
Practice Address - Phone:830-609-9880
Practice Address - Fax:830-515-5546
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99587176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife