| NPI | 1770856338 |
|---|---|
| Doing Business As | RANDY CARSON |
| Entity Type | Organization |
| Authorized Contact | RANDELL LEE CARSON Rehabilitation Practitioner/License 832-368-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: TX 02242001) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT032379) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |