Individual
DANIEL RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 PARKWAY TERRACE, CEDAR HILL, TX 75104-4761
(972) 291-0805
Mailing address
1003 PARKWAY TERRACE, CEDAR HILL, TX 75104-4761
(972) 291-0805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017944
TX
374U00000X
Home Health Aide
017944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017944
PERSONAL ASSISTANCE SERVICE
TX
05
—
017944
—
TX
Enumeration date
08/28/2016
Last updated
07/21/2022
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