Individual provider · Type 1 NPI

Natalia Handrayani Tan, PA-C

Surgical Physician Assistant · Fort Worth, TX

NPI number 1851674998 Active

Practice location

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145

Fax (817) 250-4281

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA07379 (TX)
Surgical Physician Assistant Primary 363AS0400XPA07379 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1851674998

Natalia Handrayani Tan, PA-C's National Provider Identifier is 1851674998, issued on Sep 26, 2011. 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 Apr 6, 2017.