RANDELL WAYNE MOSS (NPI# 1972512531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972512531 |
| Entity Type | Individual |
| Full Name | RANDELL WAYNE MOSS |
| Credential | D.C. |
| Practice Address |
821 N. Nolan River Rd. Cleburne TX 76033 |
| Practice Telephone | 8176414042 |
| Practice Fax Number | 8176454357 |
| Mailing Telephone | 8176414042 |
| Mailing Fax Number | 8176454357 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4692 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAIL ROAD MEDICARE | 350027566 | 01 |
| TX | AETNA | 4361073 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8A7230 | 01 |
| Street Address |
821 N. NOLAN RIVER RD. |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364320 | Sidney Pruitt Iv | Chiropractor | 103 E Lone Star Ave, Cleburne, TX 76031-3226 | 2017-06-02 |
| 1194963397 | Heather Kaye Ellis | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2009-01-26 |
| 1841472115 | Greater Health and Rehabilitation, LLC | Chiropractor | 306 Granbury St, Suite B, Cleburne, TX 76033-4853 | 2007-11-28 |
| 1528268695 | Chiropractic & Sports Clinic | Chiropractor | 821 N. Nolan River Rd, Cleburne, TX 76033 | 2007-07-18 |
| 1497875611 | Glen Robert Tessman | Chiropractor | 201 N Ridgeway Dr, Cleburne, TX 76033-4114 | 2007-03-30 |
| 1629160288 | Tina Kay Witkowski-kirkpatrick | Chiropractor | 506 N Ridgeway Suite B, Cleburne, TX 76033 | 2006-09-29 |
| 1811905037 | Brandi Leigh Shafer | Chiropractor | 1649 W Henderson St Ste A, Cleburne, TX 76033-4108 | 2006-08-03 |
| 1497760813 | Sidney Charles Pruitt IIi | Chiropractor | 103 E Lone Star, Cleburne, TX 76031 | 2006-07-31 |
| 1487285979 | Texans for Chiropractic Wellness | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2020-02-03 |
| 1700267242 | Family Nutrition and Chiropractic Pllc | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2015-06-10 |
| Find all providers in CLEBURNE | ||||
Please comment or provide details below to improve the information on RANDELL WAYNE MOSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.