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

Ashli Corazon Bartolo, PA

Individual provider Family Medicine Physician · NPI 1396435350

Ashli Corazon Bartolo, PA is a Physician Assistant in Dallas, Texas. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14860 Montfort Dr # 140
Dallas, TX 75254-6718
Phone: (972) 201-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8420 Abrams Rd Ste 208, Dallas, TX 75243-7582 — (214) 341-5630

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence PA18663 (TX)

Record details

NPI number1396435350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address14860 Montfort Dr # 140, Dallas, TX 75254-6718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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