Individual provider · Type 1 NPI

Madeline Moore, PAC

Physician Assistant · Grapevine, TX

NPI number 1225567399 Active

Practice location

2535 Ira E Woods Ave
Grapevine, TX 76051

Fax (817) 488-4493

Other practice locations

  • 4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8940 · (817) 481-2121

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA11335 (TX)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225567399

Madeline Moore, PAC's National Provider Identifier is 1225567399, issued on Jun 12, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grapevine, TX. The record was last updated on Apr 27, 2020.