Randall Northcutt, D.c., P.c.

NPI #1801105994 in Longview, Texas

Provider Information

NPI Number: 1801105994
Entity Type: Organization
Organization Name: Randall Northcutt, D.c., P.c.
Primary Specialty: Chiropractor
Enumeration Date: Oct 7, 2010
Last Updated: Oct 7, 2010

Practice Location

Address: 1201 N 6TH ST
City: Longview
State: Texas
ZIP Code: 75601-5539
Phone: (903) 236-3202

Authorized Official

Name: ROY RANDALL NORTHCUTT, D.C.
Title: OWNER/DOCTOR
Phone: (903) 236-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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