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

Mackenzie Lynn Moore, MPAS, PA-C

Individual provider Physician Assistant · NPI 1578380986

Mackenzie Lynn Moore, MPAS, PA-C is a Physician Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
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

900 Matisse Dr Apt 4028
Fort Worth, TX 76107-2484
Phone: (903) 348-6341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18351 (TX)

Record details

NPI number1578380986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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