Individual
MR. RANDALL WAYNE TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 CLARK TRL, GRAND PRAIRIE, TX 75052-2324
(214) 930-9843
Mailing address
914 CLARK TRL, GRAND PRAIRIE, TX 75052-2324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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