Provider Demographics
NPI:1184752271
Name:SILVAGNI, RANDALL CARL (DC)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:CARL
Last Name:SILVAGNI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S COIT RD
Mailing Address - Street 2:#36-286
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5743
Mailing Address - Country:US
Mailing Address - Phone:214-575-5050
Mailing Address - Fax:214-575-5151
Practice Address - Street 1:101 S COIT RD
Practice Address - Street 2:#349
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5743
Practice Address - Country:US
Practice Address - Phone:214-575-5050
Practice Address - Fax:214-575-5151
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor