Tina Ann Wilkinson Moore, PA

NPI #1124013198 in Willow Park, Texas

Provider Information

NPI Number: 1124013198
Entity Type: Individual
Name: Tina Ann Wilkinson Moore, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 15, 2005
Last Updated: Jan 28, 2019

Practice Location

Address: 5700 E I 20 SERVICE RD S
City: Willow Park
State: Texas
ZIP Code: 76008-5115
Phone: (817) 489-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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