Braddock, Randall S

Braddock, Randall S is an individual health care provider with primary practice located at 433 Kitty Hawk Rd Ste 219 , Universal City TX 78148-3829. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Braddock, Randall S can be contacted via phone (210) 566-1280.

Contact Information

Primary practice address
433 Kitty Hawk Rd Ste 219 Universal City TX 78148-3829
Phone: (210) 566-1280
Fax: (210) 579-8533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 06984 Texas

Profile Details

NPI number 1730378860
LBN Legal business name Braddock, Randall S
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Sep 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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