Individual provider · Type 1 NPI

Paulina Purnama, PA-C

Surgical Physician Assistant · Fort Worth, TX

NPI number 1275724981 Active

Practice location

800 12th Ave Ste 200
Fort Worth, TX 76104-2519

Fax (469) 482-2526

Other practice locations

  • 1149 Keller Pkwy Ste A, Keller, TX 76248-1620 · (214) 631-9881

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11021 (TX)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

Other surgical physician assistant providers in Fort Worth

See all in Fort Worth →

About NPI 1275724981

Paulina Purnama, PA-C's National Provider Identifier is 1275724981, issued on Aug 7, 2007. 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 May 3, 2025.