PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P (NPI# 1164467692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164467692 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P |
| Practice Address |
900 8th Ave Fort Worth TX 76104-3902 |
| Mailing Address |
Po Box 93175 Southlake TX 76092-1175 |
| Practice Telephone | 9725990080 |
| Practice Fax Number | 9725990082 |
| Mailing Telephone | 9722800080 |
| Mailing Fax Number | 9722800081 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-06-06 |
| Authorized Official Name | MR. LONNIE JAMES GINN (OWNER) |
| Authorized Official Telephone | 9725990080 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184870701 | Physician Assistant Services of Texas L.l.p | Physician Assistant | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2008-08-14 |
| 1972549848 | Physician Assistant Services of Texas L.l.p | Physician Assistant | 11250 Fallbrook Dr, Houston, TX 77065-4229 | 2006-06-21 |
| 1023053550 | Physician Assistant Services of Texas L.l.p | Physician Assistant | 6200 W Parker Rd, Plano, TX 75093-7939 | 2006-06-18 |
| 1851335699 | Physician Assistant Services of Texas L.l.p | Physician Assistant | 3500 Gaston Ave, Dallas, TX 75246-2096 | 2006-06-15 |
| Street Address |
900 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468425 | Stephen W Farnes | Emergency Medicine | 900 8th Ave, Fort Worth, TX 76104-3902 | 2005-12-15 |
| 1497354732 | Shannon Breeland | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-19 |
| 1134728462 | Hadley Brown | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-19 |
| 1942808175 | Jin Sook Sakai | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-09 |
| 1194322677 | Lisa Marie Presley | Dietitian, Registered | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-10-07 |
| 1205458783 | Andrew Hardy Cushing | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-05-07 |
| 1639707854 | Jeremy Le | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-04-01 |
| 1104454412 | Sonia Jiwani | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-31 |
| 1750919080 | Jenny Trieu | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-31 |
| 1417585951 | Gabriel Greenhaw | Student in an Organized Health Care Education/Training Program | 900 8th Ave, Fort Worth, TX 76104-3902 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314742 | Tan Ngo | Physician Assistant | 3025 N Tarrant Pkwy Ste 140, Fort Worth, TX 76177-8625 | 2019-09-10 |
| 1699321240 | Hannah Bram | Physician Assistant | 1400 8th Ave Fl 1, Fort Worth, TX 76104-4110 | 2019-08-09 |
| 1942654462 | Damon A Cates | Physician Assistant | Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 | 2016-04-21 |
| 1790159721 | Victoria Constant | Physician Assistant | 3701 Vision Dr Ste 101, Fort Worth, TX 76109-1184 | 2015-11-13 |
| 1962828871 | Erika Zuniga Martinez | Physician Assistant | 800 7th Ave, Fort Worth, TX 76104-2704 | 2014-03-16 |
| 1336562883 | Elizabeth Suzanne Widmer | Physician Assistant | 12469 Timberland Blvd Ste 501, Fort Worth, TX 76244-5216 | 2014-02-03 |
| 1225475536 | Female Health Associates of North Texas, LLC | Physician Assistant | 1327 Hemphill St, Suit 100, Fort Worth, TX 76104-4735 | 2013-05-28 |
| 1427255330 | Alhaji Mahama Mumuni | Physician Assistant | 3305 Miller Ave Ste B, Fort Worth, TX 76119-1956 | 2007-07-03 |
| 1427144518 | Glenda Rose Hagman | Physician Assistant | 1400 S Main St Ste 406, Fort Worth, TX 76104-4913 | 2006-10-05 |
| 1073533725 | Michael Howard Johnson | Physician Assistant | 4504 Boat Club Rd Ste 800, Fort Worth, TX 76135-7002 | 2006-07-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.