Maria Pham Ravanzo in Fort Worth - Physician Assistant
Maria Pham Ravanzo - NPI 1366630675
Maria Pham Ravanzo is a Physician Assistant in Fort Worth, Texas. Maria Pham Ravanzo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maria Pham Ravanzo is 1366630675. The last update date is 2015-11-25.
Maria Pham Ravanzo's current location address is 815 Pennsylvania Ave, Fort Worth, Texas. You can contact this provider via phone number 8173210937. The mailing address for Maria Pham Ravanzo is 815 Pennsylvania Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Pham Ravanzo |
|---|---|
| Address | 815 Pennsylvania Ave, Fort Worth, Texas |
| Phone Number | 8173210937 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1366630675 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2015-11-25 |
Provider Mailing Address Detail
| Address | 815 Pennsylvania Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042224 |
| Phone Number | 8173210937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04412 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Maria Pham Ravanzo's 1366630675?
The Maria Pham Ravanzo's NPI (National Provider Identifier) Number is 1366630675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Maria Pham Ravanzo located?
The Maria Pham Ravanzo is located at 815 Pennsylvania Ave, Fort Worth, TX 761042224.
What is Maria Pham Ravanzo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Maria Pham Ravanzo is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366630675 to Maria Pham Ravanzo?
The Centers for Medicare & Medicaid Services assigned the 1366630675 to Maria Pham Ravanzo on 2007-10-11.
As of what date was the information pertaining to Maria Pham Ravanzo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maria Pham Ravanzo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-25.