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

Randa Razzouk, MD

Individual provider Pediatric Nephrology Physician · NPI 1558511071

Randa Razzouk, MD is a Nephrology in Fort Worth, Texas. Qualified in 2005, 21 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-4260
Fax: (682) 885-2874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence R3410 (TX)

Record details

NPI number1558511071
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 19, 2008
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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