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

Mr. Timothy David Moore, PA

Individual provider Physician Assistant · NPI 1679513071

Mr. Timothy David Moore, PA is a Physician Assistant in Houston, Texas. Qualified in 1995, 31 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10425 Huffmeister Rd Ste 320
Houston, TX 77065
Phone: (281) 955-2650
Fax: (281) 955-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 — (281) 955-2650

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01427 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA01427 (TX)

Record details

NPI number1679513071
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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