Individual provider · Type 1 NPI

Mary Ingeborg Kvinta, PA-C

Physician Assistant · Southlake, TX

NPI number 1407588809 Active

Practice location

431 E State Highway 114 Ste 120
Southlake, TX 76092-4416

Call (682) 651-8181 Map

Fax (817) 812-2868

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA16530 (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 1407588809

Mary Ingeborg Kvinta, PA-C's National Provider Identifier is 1407588809, issued on Jun 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southlake, TX. The record was last updated on Jan 15, 2025.