Registry record
- NPI
- 1124013198
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 5700 E I 20 Service Rd S
Willow Park, TX 76008 - Phone
- 8174897300
- In the registry since
- September 15, 2005
- Last NPPES update
- January 28, 2019
- Sole proprietor
- No
- License
- PA03112 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Tina Wilkinson Moore is 1124013198. They are a Physician Assistant in Willow Park, Texas.
Tina Wilkinson Moore is one of 5 Physician Assistants in Willow Park and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 20 years, since September 15, 2005.
Frequently asked questions
What is NPI 1124013198?
NPI 1124013198 is the 10-digit National Provider Identifier assigned to Tina Wilkinson Moore, a Physician Assistant practicing in Willow Park, Texas. The record has been in the NPPES registry since September 15, 2005.
How do I verify this provider?
Cross-check NPI 1124013198 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA03112 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as January 28, 2019. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.