Active NPI
RML Surgical Services
- Surgical Physician Assistant
- Weatherford, TX
National Provider Identifier
1174940332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- TXPA01480
- Legal business name
- RML SURGICAL SERVICES
- Practice address
- 109 Triple K CT
Weatherford, TX 76087-8099 - Phone
- (817) 800-7171
- Fax
- (817) 599-8106
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajean Rachel Moseley-Larue, PA-C
- Title
- Owner
- Phone
- (817) 800-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | TXPA01480 | TX | Primary |
Addresses
Primary practice location
109 Triple K CT
Weatherford, TX 76087-8099
Mailing address
109 Triple K CT
Weatherford, TX 76087-8099
Phone (817) 800-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689602179 | Other | TX | BCBS OF TEXAS |
Other names 1
- RAJEAN MOSELEY-LARUE PA-C SURGICAL SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1174940332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TRIPLE K CT",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760878099",
"telephone_number": "817-800-7171",
"fax_number": "817-599-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 TRIPLE K CT",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760878099",
"telephone_number": "817-800-7171",
"fax_number": "817-599-8106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RML SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "MOSELEY-LARUE",
"authorized_official_first_name": "RAJEAN",
"authorized_official_middle_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-800-7171",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "TXPA01480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "1689602179",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAJEAN MOSELEY-LARUE PA-C SURGICAL SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.