| Dr Gary Cagan Randall, DC | |
|
4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052-1706 | |
| (800) 404-6050 | |
| (866) 313-3397 |
| Full Name | Dr Gary Cagan Randall |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104165323 | NPI | - | NPPES |
| 12225 | Other | TX | CHIROPRACTIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 12225 (Texas) | Primary |
| Provider Name | Airrosti Rehab Centers, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497989479 PECOS PAC ID: 3678814498 Enrollment ID: O20190725000429 |
| Provider Name | Ptw Health Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427698901 PECOS PAC ID: 8123457652 Enrollment ID: O20200406000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Cagan Randall, DC Po Box 700688, San Antonio, TX 78270-0688 Ph: (210) 318-3007 | Dr Gary Cagan Randall, DC 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052-1706 Ph: (800) 404-6050 |
Dr. Laurent Pelletier, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2133 S Great Southwest Pkwy, Grand Prairie, TX 75051 Phone: 972-647-2400 | |
Dr. Jacob C Hamblen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052 Phone: 800-404-6050 Fax: 866-313-3397 | |
Dr. Teena Marie Kabetzke, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2426 S Carrier Pkwy, Suite 105, Grand Prairie, TX 75051 Phone: 972-602-7222 Fax: 972-602-7223 | |
Lisa I Ly, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051 Phone: 972-647-2400 Fax: 972-623-3400 | |
Dr. Elizabeth R. Taylor, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3125 S Carrier Pkwy, Suite B, Grand Prairie, TX 75052 Phone: 972-641-7111 Fax: 972-660-1119 | |
Crossroads Natural Health, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3125 S Carrier Pkwy, Suite B, Grand Prairie, TX 75052 Phone: 972-641-7111 Fax: 972-660-1119 |