Fleming, Randy Alan
Fleming, Randy Alan is an individual health care provider with primary practice located at 1301 Paluxy Rd , Granbury TX 76048-5663. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fleming, Randy Alan can be contacted via phone (817) 573-8204.Contact Information
Primary practice address
1301 Paluxy Rd
Granbury TX 76048-5663
Phone: (817) 573-8204
Fax: (817) 573-8472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1128395 | Texas |
Profile Details
| NPI number | 1043316938 |
|---|---|
| LBN Legal business name | Fleming, Randy Alan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043316938 | NPPES |
| Texas | Other | 83295T | BLUE CROSS BLUE SHIELD |
| Texas | Other | 7047011 | BLUE CROSS BLUE SHIELD |
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