Randle, Christopher Blake

Randle, Christopher Blake is an individual health care provider with primary practice located at 4101 Wesley St Suite H, Greenville TX 75401-5635. 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. Randle, Christopher Blake can be contacted via phone (903) 454-8100.

Contact Information

Primary practice address
4101 Wesley St Suite H Greenville TX 75401-5635
Phone: (903) 454-8100
Fax: (903) 454-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1151637 Texas

Profile Details

NPI number 1467460568
LBN Legal business name Randle, Christopher Blake
Credentials MS, PT.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467460568 NPPES
Texas Other 8T1324 BCBS PROVIDER

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