Grace K Gongidi, PA
Grace K Gongidi, PA is a Physician Assistant in Fort Worth, Texas. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1500 Cooper StFort Worth, TX 76104-2710
Phone: (682) 885-7840
Fax: (682) 885-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1437479458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 2, 2010 |
| Last updated in NPPES | May 6, 2021 |
| Certification date | May 6, 2021 |
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