Tina Ann Wilkinson Moore, PA

Physician assistant in Fort Worth, Texas · NPI 1124013198

Tina Wilkinson Moore is one of 509 physician assistants practicing in Fort Worth, Texas. Tina Wilkinson Moore practices with Primary Health Physicians PLLC.

Registry record (NPPES)

NPI
1124013198
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5700 E I 20 Service Rd S
Willow Park, TX 76008-5115
(817) 489-7300
Enumerated
Sep 15, 2005
Record last updated
Jan 28, 2019
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.