Individual provider · Type 1 NPI

Timothy David Moore, PA

Surgical Physician Assistant · Houston, TX

NPI number 1679513071 Active

Practice location

10425 Huffmeister Road Suite 320
Houston, TX 77065

Call (281) 955-2650 Map

Fax (281) 955-5875

Mailing address

11800 FM 1960 Rd W
Houston, TX 77065-3840

Other practice locations

  • 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 · (281) 955-2650

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01427 (TX)
Surgical Physician Assistant Primary 363AS0400XPA01427 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1679513071

Timothy David Moore, PA's National Provider Identifier is 1679513071, issued on Jun 7, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on May 10, 2022.