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

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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