Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Eva Wahl, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154190817

Kathleen Eva Wahl, PA-C 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-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Fairfax Ave, Norfolk, VA 23507-1912 — (757) 446-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18667 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154190817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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

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