Search › Texas › 363A00000X
Randy Moore, PA-C
NPI 1053627265 · on the registry since 2010
Practice
- Address
- 425 N Fredonia St
Longview, TX 75601 - Phone
- (903) 758-2610
- Fax
- (903) 758-7081
- Organisation at this address
- Longview Wellness Center Inc
Longview Wellness Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 602 Titus St Ste 130, Gilmer, TX
- 1107 E Marshall Ave, Longview, TX
- 1711 S Henderson Blvd Ste 400, Kilgore, TX
- 2131 S Mobberly Ave, Longview, TX
- 1001 W Fairmont St, Longview, TX
- 1701 Pine Tree Rd, Longview, TX
- 1761 W Loop 281, Longview, TX
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AS0400X
363A00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas