Individual provider · Type 1 NPI

Mary Elizabeth Kvanli, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1023078508 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Call (214) 857-1558 Map

Fax (214) 302-1433

Mailing address

503 W Center St
Duncanville, TX 75116-3211

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01118 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1023078508

Mary Elizabeth Kvanli, PA-C's National Provider Identifier is 1023078508, issued on Mar 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jul 13, 2026.