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

Taylor Kelly Moore

Individual provider Physician Assistant · NPI 1720768534

Taylor Kelly Moore is a Physician Assistant in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices with Consultants in Cardiovascular Medicine and Science-Fort Worth, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

1121 5th Ave
Fort Worth, TX 76104-4383
Phone: (817) 423-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 16984 (TX)

Record details

NPI number1720768534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address1121 5th Ave, Fort Worth, TX 76104-4383

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Consultants In Cardiovascular Medicine And Science-Fort Worth — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Worth