Search › Texas › 1041C0700X
Randall Black, LCSW
NPI 1043322068 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1610 Calico Canyon Ln
Pearland, TX 77581 - Phone
- (281) 450-7724
- Fax
- (866) 642-6202
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
171M00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas