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NPI Code Detail

MEDICARE: RANDALL CHAPTMAN FORD

MEDICARE: RANDALL CHAPTMAN FORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor86723TX

General Provider Information

NPI Number : 1295438083
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL CHAPTMAN FORD
Provider Business Mailing Address
First Line : 2750 S PRESTON RD STE 116241
Second Line :
City : CELINA
State : TX
Zip : 75009-3885
Country : US
Telephone Number : 469-305-2871
Fax Number :
Provider Business Practice Location Address
First Line : 3900 S STONEBRIDGE DR STE 604
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8051
Country : US
Telephone Number : 469-946-8255
Fax Number : 972-546-7914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 03/22/2023

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Directions to “ RANDALL CHAPTMAN FORD ” Practice Location

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