Provider Demographics
NPI:1114549086
Name:FRANKLIN, RANDALL GLENN JR (RMT)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:GLENN
Last Name:FRANKLIN
Suffix:JR
Gender:M
Credentials:RMT
Other - Prefix:
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Mailing Address - Street 1:6877 MEADOW CREST DR APT 1006
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6677
Mailing Address - Country:US
Mailing Address - Phone:214-668-8669
Mailing Address - Fax:
Practice Address - Street 1:1245 HURSTVIEW DR STE 101
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-4473
Practice Address - Country:US
Practice Address - Phone:682-557-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX038924225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist