Organization
RML SURGICAL SERVICES
Active
Organization
RML SURGICAL SERVICES
Active
Other names
RAJEAN MOSELEY-LARUE PA-C SURGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEAN RACHEL MOSELEY-LARUE PA-C (OWNER)
(817) 800-7171
Entity
Organization
Contact information
Practice address
109 TRIPLE K CT, WEATHERFORD, TX 76087-8099
(817) 800-7171
(817) 599-8106
Mailing address
109 TRIPLE K CT, WEATHERFORD, TX 76087-8099
(817) 800-7171
(817) 599-8106
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TXPA01480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689602179
BCBS OF TEXAS
TX
Enumeration date
03/26/2014
Last updated
03/26/2014
Update your record
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