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Search › Texas › 208100000X

Michael Randall, PTA

NPI 1760047989 · on the registry since 2019 · sole proprietor

Practice

Address
207 S Old Betsy Rd
Keene, TX 76059
Phone
(817) 645-8888
Fax
(817) 645-4984
Organisation at this address
Town Hall Estates-Keene Inc
Town Hall Estates Keene, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas