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

Tina Ann Wilkinson Moore, PA

Individual provider Physician Assistant · NPI 1124013198

Tina Ann Wilkinson Moore, PA is a Physician Assistant in Willow Park, Texas. Qualified in 1996, 30 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
30
Licensed in
TX
In the registry since
2005
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

5700 E I 20 Service Rd S
Willow Park, TX 76008-5115
Phone: (817) 489-7300
Fax: (817) 489-7302
Show map & directions

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

Additional practice locations (1)

  • 2400 Mall Cir, Fort Worth, TX 76116-1544 — (817) 737-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03112 (TX)

Record details

NPI number1124013198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESJanuary 28, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Willow Park