Crucible Physical Medicine

NPI #1154720605 in Frisco, Texas

Provider Information

NPI Number: 1154720605
Entity Type: Organization
Organization Name: Crucible Physical Medicine
Primary Specialty: General Practice
Enumeration Date: Aug 21, 2014
Last Updated: Jan 6, 2015

Practice Location

Address: 6988 LEBANON RD
City: Frisco
State: Texas
ZIP Code: 75034-6735
Phone: (214) 446-5300

Authorized Official

Name: DR. RANDY NAIDOO, MD
Title: OWNER
Phone: (214) 446-5301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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