Individual
DR. GARY CAGAN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4560 LAKE RIDGE PKWY STE 200, GRAND PRAIRIE, TX 75052-1706
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12225
TX
111NR0400X
Rehabilitation Chiropractor
Primary
12225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12225
CHIROPRACTIC LICENSE
TX
Enumeration date
02/07/2013
Last updated
02/20/2026
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