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

William Marshall Moore IV

Individual provider Family Nurse Practitioner · NPI 1558946236

William Marshall Moore IV is a Nurse Practitioner in Kyle, Texas. Qualified in 2020, 6 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

4100 Everett Dr Ste 400
Kyle, TX 78640-6147
Phone: (512) 295-1333
Fax: (512) 406-7327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1807 W Slaughter Ln, Austin, TX 78748-6230 — (512) 282-8967

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1022616 (TX)

Record details

NPI number1558946236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2021
Last updated in NPPESMarch 14, 2021
Certification dateMarch 14, 2021
Mailing address6210 E Hwy 290, Austin, TX 78723-1142

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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