Organization
RANDY L. MORTON, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LOREN MORTON M.D. (OWNER)
(903) 753-7205
Entity
Organization
Contact information
Practice address
3209 N 4TH ST, SUITE 300, LONGVIEW, TX 75605-5171
(903) 753-7205
(903) 238-8862
Mailing address
3209 N 4TH ST, SUITE 300, LONGVIEW, TX 75605-5171
(903) 753-7205
(903) 238-8862
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G5407
TX
Other
Enumeration date
07/16/2010
Last updated
07/19/2010
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