RANDALL NORTHCUTT, D.C., P.C.
Chiropractic at 6 St, Longview, TX

License number
Texas 4022
Category
Chiropractic
Type
Chiropractor
Owner
Name: ROY RANDALL NORTHCUTT D.C.
Title: OWNER/DOCTOR
Phone: (903) 236-3202
Address
Address
1201 N 6Th St, Longview, TX 75601
National Provider ID: 1801105994
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDALL NORTHCUTT, D.C., PC

Longview, TX

Doing business as:
Randall Northcutt DC<br>Northcutt Chiropractic<br>Randall Northcutt, D.C., PC
Registration:
Jul 2, 1987
Addresses:
101 Woodbine Pl STE A, Longview, TX 75601 (Mailing)
1201 N 6 St, Longview, TX 75601
State ID:
0091222802
Business type:
Domestic Professional Corporation
DIRECTOR, Medical Doctor, President, Directors:
Kathleen Northcutt (SECRETARY, Treasurer, Director, Secretary), 220 Dogwood Cir, Longview, TX 75605,Randall R Northcutt (DIRECTOR, Medical Doctor, President, Director), 220 Dogwood Cir, Longview, TX 75605
Agent:
Randall Northcutt,1201-B North 6, Longview, TX 75601 (Physical)
TIN:
17521879050

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