Individual provider · Type 1 NPI

Maria Pham Ravanzo, PA

Physician Assistant · Fort Worth, TX

NPI number 1366630675 Active

Practice location

816 W Cannon St
Fort Worth, TX 76104-3146

Call (817) 321-0937 Map

Mailing address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA04412 (TX)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366630675

Maria Pham Ravanzo, PA's National Provider Identifier is 1366630675, issued on Oct 11, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 25, 2015.