Individual
RANDAL BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1015 N CARROLL AVE STE 100, DALLAS, TX 75204-6613
(214) 887-6580
Mailing address
1015 N CARROLL AVE STE 100, DALLAS, TX 75204-6613
(214) 887-6580
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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