Individual
RANDY J HORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38120
(901) 383-8860
(901) 383-1194
Mailing address
7600 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1788
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03732075
—
MS
05
—
154102001
—
AR
05
—
207364209
—
MO
05
—
3328225
—
TN
01
—
4104623
BCBS
TN
01
—
5M839
BCBS
AR
Enumeration date
08/19/2006
Last updated
01/28/2022
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