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Individual
MS. THERESA ELAINE RAND
Active
Individual
MS. THERESA ELAINE RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
49494
MT
363A00000X
Physician Assistant
Primary
PA00448
TX
363A00000X
Physician Assistant
PA2364
FL
363A00000X
Physician Assistant
TL469
WY
363AS0400X
Surgical Physician Assistant
0110004634
VA
363AS0400X
Surgical Physician Assistant
10002369A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110004634
LICENCE
VA
01
—
1902841919
BLUE CROSS BLUE SHIELD
TX
01
—
1902841919
NPI
VA
01
—
196968
ANTHEM
MO
05
—
200043740A
—
OK
05
—
200301770A
—
KS
05
—
217157101
—
TX
05
—
217157102
—
TX
01
—
P00175628
RR MEDICARE
—
01
—
P01078448
RR MEDICARE
TX
Enumeration date
06/17/2006
Last updated
04/15/2026
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