Individual provider · Type 1 NPI

Thomas Kelly Moore Jr., RN

Critical Care Medicine Registered Nurse · San Antonio, TX

NPI number 1760386684 Active

Practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Mailing address

1703 Evans Rd Apt 9308
San Antonio, TX 78258-7056

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN327258 (GA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1760386684

Thomas Kelly Moore Jr., RN's National Provider Identifier is 1760386684, issued on Oct 5, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in San Antonio, TX. The record was last updated on Oct 5, 2026.