Tina Ann Wilkinson Moore in Willow Park - Physician Assistant
Tina Ann Wilkinson Moore - NPI 1124013198
Tina Ann Wilkinson Moore is a Physician Assistant in Willow Park, Texas. Tina Ann Wilkinson Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tina Ann Wilkinson Moore is 1124013198. The last update date is 2019-01-28.
Tina Ann Wilkinson Moore's current location address is 5700 E I 20 Service Rd S, Willow Park, Texas. You can contact this provider via phone number 8177377000. The mailing address for Tina Ann Wilkinson Moore is 5700 E I 20 Service Rd S, Willow Park, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Ann Wilkinson Moore |
|---|---|
| Address | 5700 E I 20 Service Rd S, Willow Park, Texas |
| Phone Number | 8177377000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1124013198 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2019-01-28 |
Provider Mailing Address Detail
| Address | 5700 E I 20 Service Rd S |
|---|---|
| City | Willow Park |
| State | Texas (TX) |
| Post Code | 760085115 |
| Phone Number | 8177377000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03112 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196341501 | TX | -- | |
| 196341502 | TX | -- | |
| 8F9743 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tina Ann Wilkinson Moore by the Centers for Medicare & Medicaid Services?
The Tina Ann Wilkinson Moore has been issued the NPI (National Provider Identifier) 1124013198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tina Ann Wilkinson Moore's facilities are situated?
The facilities of Tina Ann Wilkinson Moore are physically located at the following address: 5700 E I 20 Service Rd S, Willow Park, TX, 760085115.
What is Tina Ann Wilkinson Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tina Ann Wilkinson Moore's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124013198 to Tina Ann Wilkinson Moore?
The Centers for Medicare & Medicaid Services originally issued the 1124013198 to Tina Ann Wilkinson Moore on 2005-09-15.
When was the information regarding Tina Ann Wilkinson Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tina Ann Wilkinson Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-01-28.