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CRUCIBLE PHYSICAL MEDICINE
NPI 1154720605
General Practice in Frisco, TX

Active since August 21, 2014
6988 LEBANON RD, FRISCO, TX 75034(214) 446-5300(214) 446-5304 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crucible Physical Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRUCIBLE PHYSICAL MEDICINE (NPI 1154720605) is a healthcare organization registered as a general practice in Frisco, Texas and active in the NPI registry since August 2014. The organization lists Randy Naidoo, Owner, as its authorized official.

NPPES Registry Identity

NPI1154720605
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCRUCIBLE PHYSICAL MEDICINE
Location Address6988 LEBANON RDFrisco, TX 75034-6735
Mailing Address6988 Lebanon Rd, Suite 101Frisco, TX 75034-6735 · (214) 446-5300 · Fax (214) 446-5304
Phone(214) 446-5300
Fax(214) 446-5304
Organization SubpartNo
Authorized OfficialRandy NaidooOwner · (214) 446-5301
Enumeration DateAugust 21, 2014
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1154720605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · 40161841
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6988 LEBANON RD, Frisco, TX 75034
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Other Identifiers 1

Medicare PIN381537TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH EDWARD BRILLIANT D.C.
Chiropractor
6988 LEBANON RD, SUITE 101
FRISCO, TX 75034
Denton County (214) 446-5300
DR. MATTHEW SCOTT CHALMERS D.C.
Chiropractor
6988 LEBANON RD, SUITE 101
FRISCO, TX 75034
Denton County (817) 259-1007
CRUCIBLE CHIROPRACTIC PLLC
Chiropractor
6988 LEBANON RD, SUITE 101
FRISCO, TX 75034
Denton County (214) 446-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crucible Physical Medicine's NPI number?

The NPI number for Crucible Physical Medicine is 1154720605. It was assigned to this organization in the NPPES registry on August 21, 2014.

Where is Crucible Physical Medicine located?

Crucible Physical Medicine is located at 6988 Lebanon Rd, Frisco, TX 75034. The listed phone number is (214) 446-5300.

What is Crucible Physical Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Crucible Physical Medicine was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.