Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanna Joyce Ellen Randolph, PA-C

Individual provider Physician Assistant · NPI 1336568690

Breanna Joyce Ellen Randolph, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2013, 13 years ago. Practices with Carnivore Lifestyle MD, PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17270 Red Oak Dr Ste 200
Houston, TX 77090-2618
Phone: (281) 440-6960
Fax: (281) 440-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09038 (TX)

Record details

NPI number1336568690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Carnivore Lifestyle Md, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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