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

Mary Viriginia Moore

Individual provider Physical Therapy Assistant · NPI 1023839628

Mary Viriginia Moore is a Physical Therapy Assistant in Wake Village, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

600 N Kings Hwy Ste 3
Wake Village, TX 75501-5787
Phone: (903) 794-0055
Show map & directions

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

Additional practice locations (2)

  • 303 N Center St, New Boston, TX 75570-2918 — (903) 628-7700
  • 5416 Plaza Dr, Texarkana, TX 75503-1661 — (903) 794-0333

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2164356 (TX)

Record details

NPI number1023839628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address303 N Center St, New Boston, TX 75570-2918

Other providers in Wake Village