Randall, Gary Cagan
Randall, Gary Cagan is an individual health care provider with primary practice located at 4560 Lake Ridge Pkwy Ste 200 , Grand Prairie TX 75052-1706. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Randall, Gary Cagan can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
4560 Lake Ridge Pkwy Ste 200
Grand Prairie TX 75052-1706
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 12225 | Texas |
Profile Details
| NPI number | 1104165323 |
|---|---|
| LBN Legal business name | Randall, Gary Cagan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | Sep 11th, 2023 - about last year |
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 | 1104165323 | NPPES |
| Texas | Other | 12225 | CHIROPRACTIC LICENSE |
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