Taylor, Randall Wayne
Taylor, Randall Wayne is an sole proprietor health care provider with primary practice located at 914 Clark Trl , Grand Prairie TX 75052-2324. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Taylor, Randall Wayne can be contacted via phone (214) 930-9843.Contact Information
Primary practice address
914 Clark Trl
Grand Prairie TX 75052-2324
Phone: (214) 930-9843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1639710130 |
|---|---|
| LBN Legal business name | Taylor, Randall Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2019 |
| Last updated | Oct 5th, 2019 - about 5 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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