Individual
DR. RANDALL B. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
804 S HOOD ST, ALVIN, TX 77511-3459
(720) 985-5372
(720) 302-2522
Mailing address
804 S HOOD ST, ALVIN, TX 77511-3459
(720) 985-5372
(720) 302-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
09118
TX
111N00000X
Chiropractor
5595
CO
111NS0005X
Sports Physician Chiropractor
Primary
9118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457421877
NPI
CO
01
—
46-4309251
TAX ID#
CO
01
—
9118
STATE LICENSE
TX
Enumeration date
11/09/2006
Last updated
04/28/2023
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