Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tangerinemed PLLC

Organization Physician Assistant · NPI 1588539548

Tangerinemed PLLC is a Physician Assistant in Dallas, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5473 Blair Rd Ste 100
Dallas, TX 75231-4227
Phone: (689) 306-1612
Fax: (689) 306-1634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588539548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lilly Michael — Ceo · (214) 517-9771
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateSeptember 25, 2025
Mailing address5473 Blair Rd Ste 100, Dallas, TX 75231-4227

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