Moore, Randy Ranshawn

Moore, Randy Ranshawn is an individual health care provider with primary practice located at 425 N Fredonia St , Longview TX 75601-6464. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, Randy Ranshawn can be contacted via phone (903) 758-2610.

Contact Information

Primary practice address
425 N Fredonia St Longview TX 75601-6464
Phone: (903) 758-2610
Fax: (903) 758-7081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA07050 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA07050 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07050 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1053627265
LBN Legal business name Moore, Randy Ranshawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2010
Last updated Jun 12th, 2024 - about last year

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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