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

Individual provider Physician Assistant · NPI 1104526862

Kathryn Elise Quintanilla, PA-C is a Physician Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
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

4927 Byers Ave
Fort Worth, TX 76107
Phone: (817) 994-2655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16705 (TX)

Record details

NPI number1104526862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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