Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Marie Moore, PA-C

Individual provider Military Health Care Provider · NPI 1710259833

Amy Marie Moore, PA-C is a Military Health Care Provider in Jbsa Ft Sam Houston, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-8764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1650 Cochrane Bld 7500, Ft. Carson, CO 80913 — (210) 247-7072
  • 2981 Garden Ave, Jbsa Ft Sam Houston, TX 78234-7635 — (210) 556-5147

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11886 (TX)
Military Health Care Provider Taxonomy 171000000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA11886 (TX)

Record details

NPI number1710259833
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

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