Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy Ranshawn Moore, PA-C

Individual provider Medical Physician Assistant · NPI 1053627265

Randy Ranshawn Moore, PA-C is a Medical Physician Assistant in Longview, Texas. Works from 8 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2010
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

425 N Fredonia St
Longview, TX 75601-6464
Phone: (903) 758-2610
Fax: (903) 758-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 602 Titus St Ste 130, Gilmer, TX 75644-1780 — (903) 758-2610
  • 1711 S Henderson Blvd Ste 400, Kilgore, TX 75662-3592 — (903) 758-2610
  • 1001 W Fairmont St, Longview, TX 75604-3511 — (903) 758-2610
  • 1107 E Marshall Ave, Longview, TX 75601-5602 — (903) 758-2610
  • 1761 W Loop 281, Longview, TX 75604-2734 — (903) 758-2610
  • 1701 Pine Tree Rd, Longview, TX 75604-1909 — (903) 758-2610
  • 2131 S Mobberly Ave, Longview, TX 75602-3563 — (903) 758-2610

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07050 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA07050 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA07050 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053627265
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2010
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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