King, Randell Roshaun

King, Randell Roshaun is an individual health care provider with primary practice located at 508 Pierce St , Lindale TX 75771-3335. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. King, Randell Roshaun can be contacted via phone (903) 881-9373.

Contact Information

Primary practice address
508 Pierce St Lindale TX 75771-3335
Phone: (903) 881-9373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2059006 Texas

Profile Details

NPI number 1336620632
LBN Legal business name King, Randell Roshaun
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2018
Last updated Aug 24th, 2018 - about 7 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.

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