TINA WILKINSON MOORE, PA
Physician Assistant
Active
Individual
NPI: 1124013198
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA03112 (TX) |
Frequently Asked Questions
NPI 1124013198 is the National Provider Identifier for TINA WILKINSON MOORE, PA, a Physician Assistant provider located in Willow Park, TX. This NPI was enumerated on September 15, 2005.
TINA WILKINSON MOORE, PA practices at 5700 E I 20 SERVICE RD S, Willow Park, TX 76008.
Quick Facts
- NPI
- 1124013198
- Type
- Individual
- Enumerated
- Sep 15, 2005
- Last Updated
- Jan 28, 2019
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