Individual provider · Type 1 NPI
Katerina Ly, PA-C
Surgical Physician Assistant · Dallas, TX
NPI number
1629958749
Active
Practice location
4925 Greenville Ave, Ste 1307, Energy Square 1
Dallas, TX 75206
Fax (214) 351-8451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1629958749
Katerina Ly, PA-C's National Provider Identifier is 1629958749, issued on Sep 8, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Dec 9, 2025.