Individual provider · Type 1 NPI

Nathan Annop Mahanirananda, PA-C

Physician Assistant · Southlake, TX

NPI number 1952805848 Active

Practice location

2813 W Southlake Blvd Ste 100
Southlake, TX 76092-6832

Mailing address

12 Branch Rd
Oakhurst, NJ 07755-1026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA11879 (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 1952805848

Nathan Annop Mahanirananda, PA-C's National Provider Identifier is 1952805848, issued on Mar 23, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Southlake, TX. The record was last updated on Mar 23, 2018.