Individual provider · Type 1 NPI

Randall Moon, FNP-C

Family Nurse Practitioner · Lockhart, TX

NPI number 1407469265 Active

Practice location

2060 S Colorado St
Lockhart, TX 78644-3951

Fax (877) 599-5676

Mailing address

PO Box 1890
Gonzales, TX 78629-1390

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1011256 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1407469265

Randall Moon, FNP-C's National Provider Identifier is 1407469265, issued on Aug 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lockhart, TX. The record was last updated on May 19, 2026.