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Organization
RANDALL NORTHCUTT, D.C., P.C.
Active
Organization
RANDALL NORTHCUTT, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY RANDALL NORTHCUTT D.C. (OWNER/DOCTOR)
(903) 236-3202
Entity
Organization
Contact information
Practice address
1201 N 6TH ST, LONGVIEW, TX 75601-5539
(903) 236-3202
(903) 236-4895
Mailing address
1201 N 6TH ST, LONGVIEW, TX 75601-5539
(903) 236-3202
(903) 236-4895
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114933678
TYPE 1 NPI
TX
Enumeration date
10/07/2010
Last updated
10/07/2010
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