Provider Demographics
NPI:1992292528
Name:RANDLE, SHEYLA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHEYLA
Middle Name:
Last Name:RANDLE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:SHEYLA
Other - Middle Name:MILENE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 WHISPERING PINES AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4911
Mailing Address - Country:US
Mailing Address - Phone:713-429-5325
Mailing Address - Fax:281-816-5931
Practice Address - Street 1:12234 SHADOW CREEK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7330
Practice Address - Country:US
Practice Address - Phone:832-736-3696
Practice Address - Fax:877-878-5601
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136773363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health