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

Tim Moore

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1093214611

Tim Moore is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

23203 Bulverde Rd
San Antonio, TX 78259-2203
Phone: (210) 356-0583
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence AT1587 (TX)

Record details

NPI number1093214611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2018
Last updated in NPPESFebruary 9, 2018

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