Individual provider · Type 1 NPI

Angela K. Wickstrum, PA-C

Physician Assistant · Fort Worth, TX

NPI number 1912137977 Active

Practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Call (817) 369-8526 Map

Fax (817) 764-0714

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA04934 (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…

14 other providers at this address

Other physician assistant providers in Fort Worth

See all in Fort Worth →

About NPI 1912137977

Angela K. Wickstrum, PA-C's National Provider Identifier is 1912137977, issued on Jul 23, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 18, 2025.