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

Mary L Moore, PAC

Individual provider Medical Physician Assistant · NPI 1770514614

Mary L Moore, PAC is a Physician Assistant in Pearsall, Texas. Qualified in 1999, 27 years ago. Practices with Frio Hospital Association, a 9-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

105 E Hackberry St
Pearsall, TX 78061-4412
Phone: (830) 334-3670
Fax: (830) 334-3672
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA02513 (TX)

Record details

NPI number1770514614
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 24, 2011
Mailing address151 Encino Drive, Pearsall, TX 78061

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Frio Hospital Association — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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