Individual provider · Type 1 NPI

Stephanie Cervantes

Surgical Physician Assistant · Fort Worth, TX

NPI number 1003624446 Active

Practice location

800 5th Ave Ste 500
Fort Worth, TX 76104-7304

Call (817) 250-4280 Map

Fax (817) 250-4281

Mailing address

2323 N Central Expy
Richardson, TX 75080-2712

Other practice locations

  • 2323 N Central Expy, Richardson, TX 75080-2712 · (214) 453-4533

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA20222 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1003624446

Stephanie Cervantes's National Provider Identifier is 1003624446, issued on Dec 18, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 7, 2026.