Individual provider · Type 1 NPI

Avery Moore, PA

Surgical Physician Assistant · Houston, TX

NPI number 1174480123 Active

Practice location

18885 Katy Fwy
Houston, TX 77094-1103

Call (281) 892-2000 Map

Mailing address

PO Box 207
Houston, TX 77001-0207

Other practice locations

  • 215 Kingwood Executive Dr Ste 100, Kingwood, TX 77339-2764 · (281) 358-4145
  • 2600 North Loop W Ste 100, Houston, TX 77092-8915 · (713) 650-6900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA20696 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1174480123

Avery Moore, PA's National Provider Identifier is 1174480123, issued on Jan 9, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Aug 5, 2026.