Breanna Randolph is one of 66 physician assistants practicing in The Woodlands, Texas .
Breanna Randolph practices with Carnivore Lifestyle MD, PLLC.
Registry record (NPPES)
NPI
1336568690
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
17270 Red Oak Dr
Enumerated
Apr 15, 2014
Record last updated
Apr 15, 2014
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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